Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Bend › NPI 1053523068

Bend Ophthalmology

Bend Ophthalmology was paid $355K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.

33Billing provider infoBEND OPHTHALMOLOGY
BEND, OR 97701
33aNPI1053523068assigned 05/03/2007
33bProvider typeSpecialist
28Total paid$355K
24GClaims4,641
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in Oregon

Rank by total paid#17 of 85
Median peer was paid$36K
This provider vs. median9.9×

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$5.0K$10K2018201920202021202220232024
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
2018559$33K
2019843$62K
2020747$58K
2021787$61K
2022606$52K
2023497$43K
2024incomplete602$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 39% 1,227 1,144 $140K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 918 861 $80K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 1,201 1,025 $61K
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 17% 916 821 $60K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.3% 87 81 $5K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.2% 43 38 $4K
92015 Determination of refractive state <1% 231 210 $3K
92002 <1% 18 14 $1K

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 officialSTEVENS, SCOTT (PARTNER)