SG OPTICAL LLC SOS Verified
2210 IDAHO ST, ELKO, NV 89801
NPI Number
1649485483
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SG OPTICAL, LLC
Entity Number: LLC6973-2004
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2004-04-05
Status Changed: 2005-06-24
Name Match: 95%
Registered Agent
Name: Shaune Wallace
Type: Non-Commercial Registered Agent
Address: 2005 Eagle Ridge Loop, Elko, NV, 89801
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Shaune Wallace | 2005 Eagle Ridge Loop, Elko, NV | Active |
Total Medicaid Payments
$1,904,080
+947% vs specialty average
Patients Seen
33,319
Total Claims
36,439
$ Per Patient
$57
Specialty avg: $38
Specialty Rank
#6 of 377
Optometrist providers in Nevada
Peer Average
$181,896
Average total for Optometrist
Claims per Patient
1.1
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 | $359,857 | |
| 2019 | $287,723 | |
| 2020 | $182,281 | |
| 2021 | $230,261 | |
| 2022 | $298,013 | |
| 2023 | $293,175 | |
| 2024 | $252,771 |
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 | 5,789 | $391,232 | 20.5% | $68 |
| 92014 | Eye exam or vision test | 3,076 | $304,862 | 16.0% | $99 |
| 92004 | Eye exam or vision test | 2,114 | $253,514 | 13.3% | $120 |
| 92250 | Eye exam or vision test | 3,320 | $221,807 | 11.6% | $67 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2,888 | $206,320 | 10.8% | $71 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2,970 | $171,642 | 9.0% | $58 |
| 92340 | Eye exam or vision test | 5,132 | $150,421 | 7.9% | $29 |
| 92015 | Eye exam or vision test | 5,753 | $92,116 | 4.8% | $16 |
| V2760 | Scratch resistant coating, per lens | 2,467 | $86,278 | 4.5% | $35 |
| V2755 | U-v lens, per lens | 467 | $12,774 | 0.7% | $27 |
| 92341 | Eye exam or vision test | 102 | $3,725 | 0.2% | $37 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 59 | $3,344 | 0.2% | $57 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 25 | $2,661 | 0.1% | $106 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 50 | $2,263 | 0.1% | $45 |
| V2750 | Anti-reflective coating, per lens | 26 | $1,090 | 0.1% | $42 |
| V2799 | Vision item or service, miscellaneous | 2,201 | $31 | 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.