Professional Eyecare Centers, PLLC
Professional Eyecare Centers, PLLC was paid $143K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 60% of everything it billed.
33Billing provider infoPROFESSIONAL EYECARE CENTERS, PLLC
JAMESTOWN, ND 58401
JAMESTOWN, ND 58401
33aNPI1699866244assigned 09/27/2006
33bProvider typeOptometrist
28Total paid$143K
24GClaims7,208
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in North Dakota
Rank by total paid#9 of 56
Median peer was paid$15K
This provider vs. median9.7×
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 | 1,794 | $26K | |
| 2019 | 1,376 | $22K | |
| 2020 | 1,327 | $21K | |
| 2021 | 1,334 | $30K | |
| 2022 | 697 | $23K | |
| 2023 | 310 | $8K | |
| 2024incomplete | 370 | $11K |
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 | 60% | 1,319 | 923 | $86K |
| 92015 | Determination of refractive state | 23% | 2,726 | 2,006 | $33K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 183 | 134 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.1% | 272 | 217 | $7K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,219 | 1,132 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 201 | 193 | $0.00 |
| V2020 | Frames, purchases | 0% | 16 | 15 | $0.00 |
| 1036F | 0% | 865 | 797 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 389 | 354 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 18 | 18 | $0.00 |
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 officialRUDOLPH, STACI (ACCOUNTS SPECIALIST)