Leonard E. Vainio & David G. Vainio PC
Leonard E. Vainio & David G. Vainio PC was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoLEONARD E. VAINIO & DAVID G. VAINIO PC
ANACONDA, MT 59711
ANACONDA, MT 59711
33aNPI1053342006assigned 07/06/2006
33bProvider typeOptometrist
28Total paid$1.14M
24GClaims27,580
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#6 of 113
Median peer was paid$95K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 3,921 | $180K | |
| 2019 | 4,028 | $154K | |
| 2020 | 4,067 | $144K | |
| 2021 | 4,493 | $171K | |
| 2022 | 4,285 | $181K | |
| 2023 | 3,803 | $166K | |
| 2024incomplete | 2,983 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 38% | 4,466 | 3,804 | $432K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 33% | 4,820 | 3,940 | $382K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 7,686 | 6,529 | $182K |
| 92015 | Determination of refractive state | 12% | 10,272 | 8,554 | $137K |
| 92341 | <1% | 305 | 271 | $8K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 31 | 24 | $2K |
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 officialVAINIO, DAVID (OPTOMETRIST)