Don Sealock, O.D., P.A.
Don Sealock, O.D., P.A. was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoDON SEALOCK, O.D., P.A.
PLYMOUTH, MN 55442
PLYMOUTH, MN 55442
33aNPI1497785620assigned 07/04/2006
33bProvider typeOptometrist
28Total paid$1.61M
24GClaims53,328
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Minnesota
Rank by total paid#9 of 296
Median peer was paid$57K
This provider vs. median28×
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 | 7,283 | $38K | |
| 2019 | 6,413 | $204K | |
| 2020 | 6,253 | $195K | |
| 2021 | 7,453 | $249K | |
| 2022 | 8,581 | $309K | |
| 2023 | 9,728 | $342K | |
| 2024incomplete | 7,617 | $268K |
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 | 28% | 6,103 | 5,909 | $452K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 2,681 | 2,580 | $229K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.5% | 6,991 | 6,690 | $152K |
| 92015 | Determination of refractive state | 8.2% | 11,762 | 11,395 | $132K |
| V2020 | Frames, purchases | 7.5% | 4,215 | 3,903 | $120K |
| 92065 | 7.3% | 3,802 | 695 | $117K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.9% | 1,709 | 1,006 | $79K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.7% | 8,163 | 3,771 | $76K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.3% | 3,235 | 1,766 | $69K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 1,116 | 951 | $68K |
| 92083 | 2.3% | 985 | 933 | $37K | |
| 92341 | 1.3% | 782 | 753 | $21K |
7 more codes
| 92060 | 1.3% | 492 | $20K | |
| 92250 | 1.0% | 683 | $17K | |
| 92133 | <1% | 361 | $9K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 146 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 30 | $2K |
| 92134 | <1% | 47 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 25 | $507.00 |
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 officialSEALOCK, DONALD (PRESIDENT)