Staples Eye Clinic PSC
Staples Eye Clinic PSC was paid $1.13M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoSTAPLES EYE CLINIC PSC
STAPLES, MN 56479
STAPLES, MN 56479
33aNPI1821366683assigned 12/08/2011
33bProvider typeOptometrist
28Total paid$1.13M
24GClaims32,916
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Minnesota
Rank by total paid#17 of 296
Median peer was paid$57K
This provider vs. median20×
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 | 4,501 | $24K | |
| 2019 | 3,826 | $122K | |
| 2020 | 2,879 | $109K | |
| 2021 | 4,722 | $179K | |
| 2022 | 5,453 | $215K | |
| 2023 | 6,253 | $256K | |
| 2024incomplete | 5,282 | $227K |
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% | 5,182 | 5,088 | $396K |
| V2020 | Frames, purchases | 14% | 5,556 | 5,153 | $153K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 2,680 | 2,604 | $145K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.5% | 4,980 | 4,693 | $108K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.8% | 2,756 | 2,655 | $100K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.1% | 1,180 | 1,143 | $92K |
| 92015 | Determination of refractive state | 7.7% | 7,621 | 7,431 | $87K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 827 | 698 | $17K |
| 92250 | 1.2% | 572 | 562 | $13K | |
| 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% | 191 | 161 | $10K |
| 92341 | <1% | 321 | 306 | $7K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 64 | 64 | $4K |
7 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 279 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 163 | $0.00 |
| 4004F | 0% | 24 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 62 | $0.00 |
| 97804 | 0% | 290 | $0.00 | |
| 1036F | 0% | 149 | $0.00 | |
| 99406 | 0% | 19 | $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 officialDOKKEN, SETH (PRESIDENT)