GALLATIN VALLEY VISION, LLC
NPI: 1205280989
· BOZEMAN, MT 59718
· Optometrist
· NPI assigned 04/19/2016
$206K
Total Medicaid Paid
Provider Details
| Authorized Official | LEMONS, JESSICA (OPTOMETRIST) |
| NPI Enumeration Date | 04/19/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
297 |
$11K |
| 2019 |
816 |
$29K |
| 2020 |
517 |
$17K |
| 2021 |
702 |
$26K |
| 2022 |
751 |
$28K |
| 2023 |
1,184 |
$50K |
| 2024 |
1,053 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
601 |
579 |
$73K |
| 92340 |
|
1,747 |
1,671 |
$46K |
| 92250 |
|
1,283 |
1,230 |
$42K |
| 92015 |
|
1,465 |
1,399 |
$23K |
| 92014 |
|
212 |
204 |
$21K |
| 92341 |
|
12 |
12 |
$372.57 |