Supplier
Minnesota Optical LLC
Minnesota Optical LLC was paid $121K by Medicaid between Jan 2022 and Aug 2022, across 12 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 20% of everything it billed.
33Billing provider infoMINNESOTA OPTICAL LLC
EDINA, MN 55435
EDINA, MN 55435
33aNPI1962829580assigned 03/20/2014
33bProvider typeEyewear Supplier
28Total paid$121K
24GClaims2,911
24DCodes billed12
24AFirst – last monthJan 2022 – Aug 2022
Compared with peers
Next to other Eyewear Supplier providers in Minnesota
Rank by total paid#32 of 90
Median peer was paid$43K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2022 | 2,911 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 20% | 568 | 562 | $24K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 254 | 252 | $23K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 208 | 203 | $23K |
| V2020 | Frames, purchases | 16% | 573 | 567 | $19K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.5% | 240 | 239 | $8K |
| 92370 | 6.1% | 295 | 294 | $7K | |
| 92015 | Determination of refractive state | 5.3% | 464 | 457 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.8% | 213 | 212 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 58 | 56 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 13 | 13 | $428.88 |
| 92341 | <1% | 13 | 12 | $378.84 | |
| 92250 | <1% | 12 | 12 | $342.06 |
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 MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Minnesota Optical LLC | Elk River, MN | $1.84M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.