Falls Optical, INC.
Falls Optical, INC. was paid $519K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoFALLS OPTICAL, INC.
LITTLE FALLS, MN 56345
LITTLE FALLS, MN 56345
33aNPI1356563803assigned 05/03/2007
33bProvider typeOptometrist
28Total paid$519K
24GClaims17,017
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Minnesota
Rank by total paid#42 of 296
Median peer was paid$57K
This provider vs. median9.1×
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 | 1,684 | $5K | |
| 2019 | 1,842 | $32K | |
| 2020 | 1,534 | $46K | |
| 2021 | 2,380 | $78K | |
| 2022 | 2,668 | $96K | |
| 2023 | 3,792 | $139K | |
| 2024incomplete | 3,117 | $124K |
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 | 28% | 1,935 | 1,871 | $146K |
| V2020 | Frames, purchases | 17% | 3,317 | 3,166 | $86K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13% | 2,655 | 2,067 | $69K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 638 | 624 | $61K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 2,555 | 2,469 | $54K |
| 92015 | Determination of refractive state | 7.1% | 3,137 | 3,040 | $37K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 7.0% | 1,872 | 1,444 | $36K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 343 | 264 | $14K |
| 92341 | 2.5% | 505 | 482 | $13K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 60 | 55 | $3K |
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 officialDODGE, KEN (PRESIDENT)