Supplier
Elemental Eyecare, PC
Elemental Eyecare, PC was paid $985K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.
33Billing provider infoELEMENTAL EYECARE, PC
BEND, OR 97701
BEND, OR 97701
33aNPI1205078284assigned 04/06/2009
33bProvider typeEyewear Supplier
28Total paid$985K
24GClaims31,843
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Oregon
Rank by total paid#5 of 43
Median peer was paid$117K
This provider vs. median8.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 832 | $49K | |
| 2019 | 3,485 | $92K | |
| 2020 | 3,894 | $94K | |
| 2021 | 4,904 | $109K | |
| 2022 | 5,399 | $158K | |
| 2023 | 6,679 | $238K | |
| 2024incomplete | 6,650 | $245K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 2,952 | 2,894 | $258K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 2,905 | 2,793 | $231K |
| V2025 | Deluxe frame | 21% | 4,272 | 3,849 | $207K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.2% | 8,228 | 3,790 | $81K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.2% | 5,294 | 2,446 | $51K |
| 92015 | Determination of refractive state | 5.1% | 3,780 | 3,712 | $50K |
| V2020 | Frames, purchases | 3.0% | 1,261 | 1,104 | $30K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.7% | 254 | 246 | $26K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.5% | 2,035 | 958 | $25K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 1.9% | 625 | 269 | $18K |
| 92342 | <1% | 194 | 190 | $6K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 15 | 15 | $1K |
1 more codes
| 92060 | <1% | 28 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMARSHALL, GABRIELLE (OWNER)