Mount Vernon Vision Source PS INC
Mount Vernon Vision Source PS INC was paid $683.91 by Medicaid between Apr 2018 and Jul 2023, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoMOUNT VERNON VISION SOURCE PS INC
MOUNT VERNON, WA 98273
MOUNT VERNON, WA 98273
33aNPI1093912933assigned 07/02/2007
33bProvider typeOptometrist
28Total paid$683.91
24GClaims62
24DCodes billed1
24AFirst – last monthApr 2018 – Jul 2023
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#496 of 565
Median peer was paid$23K
This provider vs. median0.0×
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 | 25 | $283.68 | |
| 2019 | 12 | $139.92 | |
| 2020 | 13 | $139.20 | |
| 2023 | 12 | $121.11 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 62 | 62 | $683.91 |
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 officialJONES, TOD (OWNER)