Supplier
Bonney Lake Optical, INC
Bonney Lake Optical, INC was paid $119K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 82% of everything it billed.
33Billing provider infoBONNEY LAKE OPTICAL, INC
BONNEY LAKE, WA 98391
BONNEY LAKE, WA 98391
33aNPI1154478014assigned 01/04/2007
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$119K
24GClaims3,103
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Washington
Rank by total paid#64 of 233
Median peer was paid$1K
This provider vs. median85×
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 | 577 | $21K | |
| 2021 | 369 | $14K | |
| 2022 | 838 | $33K | |
| 2023 | 969 | $37K | |
| 2024incomplete | 350 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 82% | 1,349 | 1,344 | $97K |
| 92015 | Determination of refractive state | 13% | 1,605 | 1,598 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.9% | 69 | 68 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 80 | 75 | $1K |
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 officialCUDAHY, SEAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Bonney Lake Optical, INC | Bonney Lake, WA | $203K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.