PG Optical LLC
PG Optical LLC was paid $67K by Medicaid between Aug 2023 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 81% of everything it billed.
33Billing provider infoPG OPTICAL LLC
ROLLA, MO 65401
ROLLA, MO 65401
33aNPI1447950183assigned 03/09/2023
33bProvider typeOptometrist
28Total paid$67K
24GClaims1,785
24DCodes billed7
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#125 of 547
Median peer was paid$19K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2023 | 411 | $14K | |
| 2024incomplete | 1,374 | $53K |
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 | 81% | 640 | 630 | $55K |
| V2020 | Frames, purchases | 8.1% | 102 | 98 | $5K |
| 92015 | Determination of refractive state | 3.3% | 644 | 634 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.2% | 292 | 290 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.9% | 65 | 35 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.3% | 30 | 15 | $900.00 |
| 92341 | <1% | 12 | 12 | $60.00 |
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 officialGARDNER, KEVIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Gracie Chase Avery, LLC | Joplin, MO | $1.06M |
| Piper's Vision Xpress, LLC | Mountian Home, AR | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.