Supplier
Distinctive Eyewear, LLC
Distinctive Eyewear, LLC was paid $2K by Medicaid between Apr 2019 and Jun 2022, across 1 billing code. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 100% of everything it billed.
33Billing provider infoDISTINCTIVE EYEWEAR, LLC
GOLDEN VALLEY, MN 55427
GOLDEN VALLEY, MN 55427
33aNPI1457690133assigned 01/31/2013
33bProvider typeEyewear Supplier
28Total paid$2K
24GClaims84
24DCodes billed1
24AFirst – last monthApr 2019 – Jun 2022
Compared with peers
Next to other Eyewear Supplier providers in Minnesota
Rank by total paid#75 of 90
Median peer was paid$43K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 15 | $356.96 | |
| 2020 | 17 | $431.25 | |
| 2021 | 24 | $578.58 | |
| 2022 | 28 | $702.52 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 100% | 84 | 83 | $2K |
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 officialPETTENGILL, KELLY (CREDENTIALING AND DATA MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Distinctive Eyewear, LLC | Maple Grove, MN | $13K |
| Distinctive Eyewear, LLC | St. Anthony, MN | $701.43 |
| Distinctive Eyewear, LLC | Minnetonka, MN | $602.16 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.