MONICA PINON, O.D.
4355 S GRAND CANYON DR, LAS VEGAS, NV 89147
NPI Number
1194026641
Practice location · View on Google Maps
Total Medicaid Payments
$77,004
-58% vs specialty average
Patients Seen
2,176
Total Claims
2,238
$ Per Patient
$35
Specialty avg: $38
Specialty Rank
#139 of 377
Optometrist providers in Nevada
Peer Average
$181,896
Average total for Optometrist
Claims per Patient
1.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $8,496 | |
| 2020 | $21,426 | |
| 2021 | $23,867 | |
| 2022 | $10,458 | |
| 2023 | $8,823 | |
| 2024 | $3,934 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 735 | $29,857 | 38.8% | $41 |
| 92014 | Eye exam or vision test | 596 | $25,065 | 32.6% | $42 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 343 | $11,609 | 15.1% | $34 |
| 92004 | Eye exam or vision test | 228 | $8,644 | 11.2% | $38 |
| 92015 | Eye exam or vision test | 175 | $1,828 | 2.4% | $10 |
| 92225 | Eye exam or vision test | 73 | $0 | 0.0% | $0 |
| 99199 | Other medical service | 88 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.