Minnesota Optical LLC
Minnesota Optical LLC was paid $1.84M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 20% of everything it billed.
33Billing provider infoMINNESOTA OPTICAL LLC
ELK RIVER, MN 55330
ELK RIVER, MN 55330
33aNPI1831303437assigned 05/10/2007
33bProvider typeOptometrist
28Total paid$1.84M
24GClaims55,995
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Minnesota
Rank by total paid#8 of 296
Median peer was paid$57K
This provider vs. median32×
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 | 8,314 | $60K | |
| 2019 | 8,442 | $303K | |
| 2020 | 10,248 | $375K | |
| 2021 | 13,431 | $516K | |
| 2022 | 5,863 | $219K | |
| 2023 | 5,331 | $201K | |
| 2024incomplete | 4,366 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 4,091 | 3,991 | $361K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 4,571 | 4,438 | $356K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 18% | 9,826 | 9,132 | $331K |
| V2020 | Frames, purchases | 16% | 9,857 | 9,156 | $291K |
| 92015 | Determination of refractive state | 6.3% | 10,050 | 9,770 | $116K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.9% | 4,811 | 4,558 | $91K |
| 92250 | 4.7% | 3,546 | 3,419 | $85K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.6% | 3,809 | 3,504 | $85K |
| 92370 | 3.7% | 4,203 | 3,989 | $69K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.0% | 798 | 762 | $37K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 252 | 209 | $9K |
| 92341 | <1% | 157 | 153 | $4K |
2 more codes
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 officialTONSAGER, GARY (CHIEF OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Minnesota Optical LLC | Edina, MN | $121K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.