Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Madison Hts › NPI 1720033343

Pcor LLC

Pcor LLC was paid $25.30M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is V2020, Frames, purchases — 23% of everything it billed.

33Billing provider infoPCOR LLC
MADISON HTS, MI 48071
33aNPI1720033343assigned 05/23/2006
33bProvider typeOptometrist
28Total paid$25.30M
24GClaims1,077,774
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#1 of 497
Median peer was paid$21K
This provider vs. median1,206×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ELIAS, GAIL controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018159,759$3.67M
2019153,311$3.54M
2020126,808$2.99M
2021149,652$3.69M
2022165,047$3.93M
2023174,205$4.00M
2024incomplete148,992$3.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 23% 204,109 202,056 $5.83M
S0620 Routine ophthalmological examination including refraction; new patient 19% 102,826 102,247 $4.92M
S0621 Routine ophthalmological examination including refraction; established patient 19% 94,618 94,134 $4.74M
92340 Fitting of spectacles, except for aphakia; monofocal 15% 195,742 192,614 $3.79M
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.1% 88,517 80,280 $1.03M
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.3% 115,198 79,360 $844K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.2% 9,109 8,980 $561K
92341 2.2% 26,081 25,515 $552K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.1% 10,034 9,875 $540K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.7% 9,261 8,424 $418K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1.1% 17,758 16,307 $288K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.1% 29,623 20,209 $288K
47 more codes
V2784 Lens, polycarbonate or equal, any index, per lens <1% 57,518 $223K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 7,352 $220K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 15,005 $163K
92015 Determination of refractive state <1% 18,761 $161K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 12,998 $137K
99203 Doctor's office visit, new patient (routine) <1% 1,764 $109K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,564 $104K
92083 <1% 2,005 $70K
99214 Doctor's office visit, returning patient (more involved) <1% 838 $52K
92133 <1% 1,957 $39K
V2108 Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 2,802 $30K
92134 <1% 1,429 $27K
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens <1% 1,442 $26K
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens <1% 2,939 $25K
V2204 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 1,999 $24K
V2111 Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens <1% 2,023 $22K
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens <1% 1,967 $22K
V2207 Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens <1% 1,538 $20K
92250 <1% 473 $13K
V2744 Tint, photochromatic, per lens <1% 5,240 $5K
92310 <1% 211 $4K
V2781 Progressive lens, per lens <1% 5,368 $3K
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens <1% 72 $2K
V2112 Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens <1% 96 $1K
92342 <1% 85 $970.43
76514 <1% 125 $952.54
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 13 $617.43
92071 <1% 13 $275.40
V2208 Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 15 $201.76
V2745 Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens <1% 414 $185.84
V2750 Anti-reflective coating, per lens <1% 18,171 $149.15
V2109 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens <1% 13 $138.71
V2755 U-v lens, per lens <1% 1,032 $49.00
V2499 Variable sphericity lens, other type <1% 39 $42.72
G8785 Blood pressure reading not documented, reason not given 0% 1,129 $0.00
G8421 Bmi not documented and no reason is given 0% 568 $0.00
2022F 0% 280 $0.00
M1210 At least two orders for high-risk medications from the same drug class, (table 4), not ordered 0% 60 $0.00
G9368 At least two orders for high-risk medications from the same drug class not ordered 0% 261 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 0% 28 $0.00
2023F 0% 411 $0.00
G8732 No documentation of pain assessment, reason not given 0% 663 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 2,245 $0.00
V2783 Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens 0% 837 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 14 $0.00
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 90 $0.00
G9366 One high-risk medication not ordered 0% 31 $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 officialELIAS, GAIL (VP)
Same official

Other billing entities under ELIAS, GAIL

Full network →
ProviderLocationPaid
P-Cor, LLCTaylor, MI$896K
P-Cor, LLCMonroe, MI$875K
Pcor, LLCTroy, MI$576K
Pcor LLCSouthfield, MI$550K
Pcor LLCDetroit, MI$548K
Pcor LLCWestland, MI$534K
Pcor LLCClinton Twp, MI$473K
Pcor LLCDearborn, MI$204K
P-Cor, LLCW Bloomfield, MI$164K
P-Cor, LLCDetroit, MI$125K
Pcor - LLCMadison Hts, MI$39K
P-Cor, LLCFarmington Hills, MI$1K
Pcor LLCGrosse Pointe Woods, MI$1K
Pcor LLCFort Gratiot, MI$1K
Pcor LLCMilford, MI$1K
P-Cor, LLCCommerce Township, MI$414.70

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.