Managed care
Knial R Piper O.D. P.C.
Knial R Piper O.D. P.C. was paid $596K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoKNIAL R PIPER O.D. P.C.
WEST PLAINS, MO 65775
WEST PLAINS, MO 65775
33aNPI1386032258assigned 12/31/2014
33bProvider typePreferred Provider Organization
28Total paid$596K
24GClaims18,636
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Missouri
Rank by total paid#6 of 9
Median peer was paid$840K
This provider vs. median0.7×
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 | 2,108 | $45K | |
| 2019 | 1,860 | $40K | |
| 2020 | 2,208 | $46K | |
| 2021 | 2,372 | $51K | |
| 2022 | 3,099 | $99K | |
| 2023 | 3,341 | $147K | |
| 2024incomplete | 3,648 | $167K |
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 | 29% | 2,652 | 2,554 | $170K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 1,915 | 1,880 | $162K |
| V2020 | Frames, purchases | 18% | 3,336 | 3,198 | $104K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.5% | 2,512 | 1,384 | $51K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.9% | 1,413 | 728 | $41K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.9% | 1,039 | 508 | $29K |
| 92015 | Determination of refractive state | 3.9% | 4,783 | 4,641 | $23K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.0% | 283 | 181 | $6K |
| V2780 | Oversize lens, per lens | <1% | 502 | 242 | $5K |
| V2730 | Special base curve, glass or plastic, per lens | <1% | 181 | 89 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 20 | 13 | $579.20 |
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 officialPIPER, KNIAL (OPTOMETRIST)