Pinecone Vision Center, PA
Pinecone Vision Center, PA was paid $811K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoPINECONE VISION CENTER, PA
SARTELL, MN 56377
SARTELL, MN 56377
33aNPI1790830701assigned 01/23/2007
33bProvider typeOptometrist
28Total paid$811K
24GClaims23,556
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Minnesota
Rank by total paid#27 of 296
Median peer was paid$57K
This provider vs. median14×
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 | 2,779 | $13K | |
| 2019 | 3,008 | $101K | |
| 2020 | 2,958 | $98K | |
| 2021 | 4,472 | $174K | |
| 2022 | 4,319 | $187K | |
| 2023 | 3,186 | $128K | |
| 2024incomplete | 2,834 | $109K |
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 | 35% | 3,763 | 3,596 | $282K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 1,372 | 1,311 | $124K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 11% | 3,214 | 2,107 | $86K |
| 92015 | Determination of refractive state | 9.7% | 6,822 | 6,543 | $79K |
| V2020 | Frames, purchases | 8.4% | 2,487 | 2,101 | $68K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.5% | 2,612 | 2,282 | $52K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.7% | 1,132 | 817 | $38K |
| 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 | 3.8% | 379 | 323 | $31K |
| 92060 | 2.9% | 539 | 524 | $23K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 176 | 170 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 150 | 132 | $8K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 221 | 174 | $7K |
6 more codes
| 99072 | <1% | 470 | $1K | |
| 92250 | <1% | 12 | $291.75 | |
| 92285 | <1% | 13 | $206.81 | |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 90 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 91 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 13 | $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 officialCOLATRELLA, NICHOLAS (MEDICAL DIRECTOR)