Gutshall Kohle Pelster Eyecare, LLC
Gutshall Kohle Pelster Eyecare, LLC was paid $150K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92015, Determination of refractive state — 36% of everything it billed.
33Billing provider infoGUTSHALL KOHLE PELSTER EYECARE, LLC
ONEILL, NE 68763
ONEILL, NE 68763
33aNPI1497817241assigned 12/15/2006
33bProvider typeOptometrist
28Total paid$150K
24GClaims6,988
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Nebraska
Rank by total paid#55 of 178
Median peer was paid$51K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 887 | $19K | |
| 2019 | 1,093 | $23K | |
| 2020 | 849 | $19K | |
| 2021 | 792 | $16K | |
| 2022 | 1,272 | $24K | |
| 2023 | 1,158 | $25K | |
| 2024incomplete | 937 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 36% | 3,603 | 3,265 | $55K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 26% | 1,132 | 1,106 | $39K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 652 | 626 | $28K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.3% | 192 | 170 | $9K |
| 92002 | 5.1% | 164 | 161 | $8K | |
| V2020 | Frames, purchases | 2.7% | 491 | 463 | $4K |
| 92250 | 1.5% | 64 | 52 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 32 | 29 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.3% | 132 | 124 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 68 | 66 | $594.69 |
| V2756 | Eye glass case | <1% | 443 | 417 | $491.58 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 15 | 15 | $92.54 |
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 officialGUTSHALL, C (OWNER)