Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Annandale Eye Clinic INC

Annandale Eye Clinic INC was paid $202K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.

33Billing provider infoANNANDALE EYE CLINIC INC
LITCHFIELD, MN 55355
33aNPI1992995658assigned 07/30/2007
33bProvider typeOptometrist
28Total paid$202K
24GClaims7,446
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Minnesota

Rank by total paid#83 of 296
Median peer was paid$57K
This provider vs. median3.5×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,207$5K
20191,283$41K
20201,069$34K
20211,219$40K
2022976$30K
20231,207$35K
2024incomplete485$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 50% 1,456 1,410 $102K
V2020 Frames, purchases 17% 1,378 1,331 $35K
92015 Determination of refractive state 12% 2,309 2,208 $25K
92340 Fitting of spectacles, except for aphakia; monofocal 8.9% 895 869 $18K
V2784 Lens, polycarbonate or equal, any index, per lens 5.1% 1,045 1,005 $10K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.1% 298 291 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.6% 65 65 $5K

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 officialTANCABEL, TERRENCE (CEO)
Same official

Other billing entities under TANCABEL, TERRENCE

Full network →
ProviderLocationPaid
Annandale Eye Clinic INCAnnandale, MN$107K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.