Door County Eye Associates, INC
Door County Eye Associates, INC was paid $1K by Medicaid between Jan 2018 and Feb 2020, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 57% of everything it billed.
33Billing provider infoDOOR COUNTY EYE ASSOCIATES, INC
STURGEON BAY, WI 54235
STURGEON BAY, WI 54235
33aNPI1356391718assigned 05/10/2006
33bProvider typeOptometrist
28Total paid$1K
24GClaims732
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#284 of 412
Median peer was paid$7K
This provider vs. median0.2×
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 | 63 | $570.20 | |
| 2019 | 576 | $528.79 | |
| 2020 | 93 | $69.79 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 57% | 189 | 132 | $664.93 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43% | 31 | 24 | $503.85 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 64 | 39 | $0.00 |
| 1036F | 0% | 104 | 63 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 157 | 83 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 136 | 71 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 51 | 27 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialPAULSEN, JOHN (OPTOMETRIST)