Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pine Eye Associates, PA

Pine Eye Associates, PA was paid $496K by Medicaid between Jan 2018 and Aug 2022, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.

33Billing provider infoPINE EYE ASSOCIATES, PA
PINE CITY, MN 55063
33aNPI1851324313assigned 07/08/2006
33bProvider typeOptometrist
28Total paid$496K
24GClaims13,381
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Optometrist providers in Minnesota

Rank by total paid#43 of 296
Median peer was paid$57K
This provider vs. median8.6×

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$10K$20K2018201920202021202220232024
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
20183,176$32K
20192,877$124K
20202,342$107K
20212,992$138K
20221,994$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 1,613 1,561 $115K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 21% 1,706 1,649 $102K
V2784 Lens, polycarbonate or equal, any index, per lens 17% 2,208 2,122 $86K
V2020 Frames, purchases 15% 2,373 2,277 $75K
92340 Fitting of spectacles, except for aphakia; monofocal 8.3% 1,980 1,912 $41K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.3% 407 400 $36K
92015 Determination of refractive state 6.5% 2,913 2,833 $32K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 58 54 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 42 42 $3K
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% 29 24 $948.78
92341 <1% 40 39 $946.11
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 12 12 $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 officialIVERSON, KRISTI (CFO, OWNER)