Bonneville Vision, PLLC
Bonneville Vision, PLLC was paid $67K by Medicaid between Nov 2019 and Nov 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 66% of everything it billed.
33Billing provider infoBONNEVILLE VISION, PLLC
IDAHO FALLS, ID 83401
IDAHO FALLS, ID 83401
33aNPI1093367971assigned 07/11/2019
33bProvider typeOptometrist
28Total paid$67K
24GClaims2,021
24DCodes billed5
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Idaho
Rank by total paid#49 of 134
Median peer was paid$35K
This provider vs. median1.9×
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
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 | |
|---|---|---|---|
| 2019 | 68 | $2K | |
| 2020 | 647 | $22K | |
| 2021 | 488 | $18K | |
| 2022 | 390 | $13K | |
| 2023 | 243 | $6K | |
| 2024incomplete | 185 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 66% | 444 | 443 | $44K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 703 | 693 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.2% | 46 | 40 | $4K |
| 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 | 2.2% | 14 | 12 | $1K |
| 92015 | Determination of refractive state | <1% | 814 | 806 | $221.17 |
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 officialHOUSLEY, NATHAN (MANAGING MEMBER)