Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Moses Lake › NPI 1174641690

Creviston and Pedersen LLC

Creviston and Pedersen LLC was paid $121K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.

33Billing provider infoCREVISTON AND PEDERSEN LLC
MOSES LAKE, WA 98837
33aNPI1174641690assigned 03/26/2007
33bProvider typeOptometrist
28Total paid$121K
24GClaims4,067
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#135 of 565
Median peer was paid$23K
This provider vs. median5.2×

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$5.0K$10K2018201920202021202220232024
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
20181,970$60K
20191,957$58K
2020140$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32% 563 561 $39K
92340 Fitting of spectacles, except for aphakia; monofocal 31% 1,909 1,791 $37K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 27% 435 433 $33K
92015 Determination of refractive state 10% 1,160 1,150 $12K

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 officialSHEPPARD, LAURIE (OFFICE MANAGER)
Same official

Other billing entities under SHEPPARD, LAURIE

Full network →
ProviderLocationPaid
Creviston and Pedersen LLCMoses Lake, WA$160K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.