Piko, Amy
Piko, Amy was paid $833K by Medicaid between Jan 2019 and Dec 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoPIKO, AMY
PLEASANT PRAIRIE, WI 53158
PLEASANT PRAIRIE, WI 53158
33aNPI1215910880assigned 11/28/2005
33bProvider typeOptometrist
28Total paid$833K
24GClaims26,067
24DCodes billed8
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#5 of 412
Median peer was paid$7K
This provider vs. median127×
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 | |
|---|---|---|---|
| 2019 | 2,981 | $103K | |
| 2020 | 2,758 | $93K | |
| 2021 | 3,794 | $123K | |
| 2022 | 5,400 | $168K | |
| 2023 | 6,119 | $188K | |
| 2024incomplete | 5,015 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 53% | 9,681 | 9,330 | $443K |
| 92015 | Determination of refractive state | 25% | 12,321 | 11,954 | $208K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 2,336 | 2,290 | $102K |
| 92310 | 3.9% | 575 | 542 | $32K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.7% | 668 | 665 | $31K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.9% | 367 | 365 | $16K |
| 92250 | <1% | 27 | 26 | $959.04 | |
| 3072F | <1% | 92 | 92 | $10.00 |
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.