Utah Vision Development Center, LLC
Utah Vision Development Center, LLC was paid $43.93 by Medicaid between Oct 2020 and Aug 2023, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoUTAH VISION DEVELOPMENT CENTER, LLC
SOUTH JORDAN, UT 84009
SOUTH JORDAN, UT 84009
33aNPI1104123801assigned 02/16/2011
33bProvider typeSports Vision Optometrist
28Total paid$43.93
24GClaims149
24DCodes billed1
24AFirst – last monthOct 2020 – Aug 2023
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 | |
|---|---|---|---|
| 2020 | 14 | $0.00 | |
| 2021 | 48 | $0.00 | |
| 2022 | 31 | $0.00 | |
| 2023 | 56 | $43.93 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 149 | 134 | $43.93 |
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 officialDAVIES, JARROD (OPTOMETRIST)