Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BONNEVILLE VISION, PLLC

NPI: 1093367971 · IDAHO FALLS, ID 83401 · Optometrist · NPI assigned 07/11/2019

$67K
Total Medicaid Paid
2,021
Total Claims
1,994
Beneficiaries
5
Codes Billed
2019-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOUSLEY, NATHAN (MANAGING MEMBER)
NPI Enumeration Date07/11/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 68 $2K
2020 647 $22K
2021 488 $18K
2022 390 $13K
2023 243 $6K
2024 185 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 444 443 $44K
92340 Fitting of spectacles, except for aphakia; monofocal 703 693 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 46 40 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 12 $1K
92015 Determination of refractive state 814 806 $221.17