Piersol, James
Piersol, James was paid $278K by Medicaid between Oct 2020 and Jul 2024, across 15 billing codes. Its largest line is V2025, Deluxe frame — 34% of everything it billed.
33Billing provider infoPIERSOL, JAMES
ERIE, PA 16506
ERIE, PA 16506
33aNPI1467466631assigned 07/27/2006
33bProvider typeOptometrist
28Total paid$278K
24GClaims10,392
24DCodes billed15
24AFirst – last monthOct 2020 – Jul 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#100 of 983
Median peer was paid$20K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2020 | 270 | $4K | |
| 2021 | 2,161 | $56K | |
| 2022 | 2,996 | $87K | |
| 2023 | 3,856 | $104K | |
| 2024incomplete | 1,109 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 34% | 1,003 | 753 | $96K |
| V2020 | Frames, purchases | 28% | 1,225 | 1,094 | $78K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 19% | 1,762 | 1,689 | $53K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 8.8% | 812 | 780 | $24K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.6% | 810 | 723 | $21K |
| 92310 | <1% | 67 | 56 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 46 | 46 | $2K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 12 | 12 | $692.99 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 30 | 30 | $646.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 16 | 16 | $560.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 14 | 12 | $325.00 |
| 92015 | Determination of refractive state | <1% | 2,906 | 2,782 | $210.95 |
3 more codes
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.