Capital Family Eye Clinic LLC
Capital Family Eye Clinic LLC was paid $1.00M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.
33Billing provider infoCAPITAL FAMILY EYE CLINIC LLC
SAINT PAUL, MN 55130
SAINT PAUL, MN 55130
33aNPI1376713966assigned 03/10/2008
33bProvider typeOptometrist
28Total paid$1.00M
24GClaims28,479
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Minnesota
Rank by total paid#20 of 296
Median peer was paid$57K
This provider vs. median18×
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 | 4,608 | $35K | |
| 2019 | 4,413 | $173K | |
| 2020 | 2,536 | $95K | |
| 2021 | 3,302 | $137K | |
| 2022 | 3,743 | $152K | |
| 2023 | 5,883 | $241K | |
| 2024incomplete | 3,994 | $171K |
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 | 36% | 4,970 | 4,836 | $361K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 2,205 | 2,147 | $186K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 5,913 | 5,676 | $125K |
| 92015 | Determination of refractive state | 8.8% | 8,248 | 7,979 | $88K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.9% | 2,052 | 1,857 | $79K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 1,290 | 1,052 | $68K |
| V2020 | Frames, purchases | 6.1% | 2,392 | 2,151 | $62K |
| 92341 | 2.0% | 801 | 783 | $20K | |
| 92250 | 1.4% | 608 | 598 | $14K |
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 officialXIONG, SE (PRESIDENT)