Northern Valley Eyecare, INC.
Northern Valley Eyecare, INC. was paid $702K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoNORTHERN VALLEY EYECARE, INC.
SAINT ALBANS, VT 05478
SAINT ALBANS, VT 05478
33aNPI1083601587assigned 09/30/2005
33bProvider typeOptometrist
28Total paid$702K
24GClaims15,333
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Vermont
Rank by total paid#5 of 55
Median peer was paid$39K
This provider vs. median18×
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 | 1,800 | $78K | |
| 2019 | 1,682 | $79K | |
| 2020 | 2,008 | $90K | |
| 2021 | 2,307 | $110K | |
| 2022 | 2,324 | $102K | |
| 2023 | 2,440 | $111K | |
| 2024incomplete | 2,772 | $132K |
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 | 34% | 2,069 | 1,975 | $239K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 33% | 2,534 | 2,474 | $232K |
| 92015 | Determination of refractive state | 17% | 7,921 | 7,377 | $119K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.6% | 527 | 522 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 644 | 589 | $39K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.2% | 789 | 764 | $22K |
| 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% | 77 | 77 | $7K |
| 92250 | <1% | 189 | 184 | $5K | |
| 92083 | <1% | 14 | 13 | $476.84 | |
| 4040F | 0% | 119 | 111 | $0.00 | |
| 99072 | 0% | 124 | 116 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 61 | 54 | $0.00 |
4 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 41 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 18 | $0.00 |
| 1036F | 0% | 179 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 27 | $0.00 |
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 officialBOULERICE, GRETA (OFFICE ADMINISTRATOR)