Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gem State Family Eyecare, P.C.

Gem State Family Eyecare, P.C. was paid $18K by Medicaid between Aug 2018 and Aug 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 54% of everything it billed.

33Billing provider infoGEM STATE FAMILY EYECARE, P.C.
BOISE, ID 83703
33aNPI1154690923assigned 12/22/2011
33bProvider typeOptometrist
28Total paid$18K
24GClaims852
24DCodes billed4
24AFirst – last monthAug 2018 – Aug 2024
Compared with peers

Next to other Optometrist providers in Idaho

Rank by total paid#78 of 134
Median peer was paid$35K
This provider vs. median0.5×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
201813$0.00
201949$786.25
2020200$3K
2021196$7K
2022166$3K
2023120$2K
2024incomplete108$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 54% 101 101 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37% 53 53 $7K
92015 Determination of refractive state 5.1% 670 662 $936.81
92250 4.0% 28 28 $739.90

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 officialHOLMAN, JENNIFER (PRESIDENT)