ST Cloud Eye Clinic PA

ST Cloud Eye Clinic PA was paid $225K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.

33Billing provider infoST CLOUD EYE CLINIC PA
SAINT CLOUD, MN 56303

33aNPI1538157805assigned 10/11/2005

33bProvider typeOphthalmology Physician

28Total paid$225K

24GClaims7,270

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Minnesota

Rank by total paid#7 of 30

Median peer was paid$43K

This provider vs. median5.2×

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	861	$4K
2019	720	$21K
2020	860	$30K
2021	787	$21K
2022	1,299	$43K
2023	1,687	$70K
2024incomplete	1,056	$36K

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	30%	850	813	$66K
92015	Determination of refractive state	24%	4,605	4,455	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	730	640	$41K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	16%	616	600	$36K
92002		3.8%	228	223	$9K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.8%	80	80	$8K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.5%	69	68	$6K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.0%	43	40	$4K
92136		<1%	49	39	$848.50

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 officialSTARKEY, DEFOREST (OFFICE MANAGER)