Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Crystal Vision Clinic PA

Crystal Vision Clinic PA was paid $91K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.

33Billing provider infoCRYSTAL VISION CLINIC PA
CRYSTAL, MN 55429
33aNPI1720480007assigned 09/18/2014
33bProvider typeOptometrist
28Total paid$91K
24GClaims3,521
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Minnesota

Rank by total paid#123 of 296
Median peer was paid$57K
This provider vs. median1.6×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018313$1K
2019364$9K
2020343$8K
2021546$17K
2022418$11K
2023699$20K
2024incomplete838$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 40% 465 458 $37K
92015 Determination of refractive state 29% 2,182 2,152 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 135 133 $14K
92340 Fitting of spectacles, except for aphakia; monofocal 9.1% 396 376 $8K
V2020 Frames, purchases 3.9% 158 141 $4K
92370 2.0% 84 83 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 34 12 $390.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 67 57 $290.27

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 officialENDRES, JOHN (OWNER)