Southern Idaho Ophthalmology PLLC
Southern Idaho Ophthalmology PLLC was paid $55K by Medicaid between May 2018 and May 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 71% of everything it billed.
TWIN FALLS, ID 83301
Next to other Ophthalmology Physician providers in Idaho
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 38 | $0.00 | |
| 2019 | 348 | $6K | |
| 2020 | 456 | $12K | |
| 2021 | 498 | $18K | |
| 2022 | 591 | $14K | |
| 2023 | 324 | $5K | |
| 2024incomplete | 26 | $30.54 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 71% | 414 | 409 | $39K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 76 | 76 | $8K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.0% | 87 | 85 | $4K |
| 92015 | Determination of refractive state | 5.8% | 1,419 | 1,401 | $3K |
| 92134 | 1.2% | 41 | 37 | $666.88 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 244 | 213 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Grand River Hospital District | Rifle, CO | $13.96M |
| Grand River Hospital District | Parachute, CO | $4.88M |
| Grand River Hospital District | Rifle, CO | $3.63M |
| Grand River Hospital District | Rifle, CO | $661K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.