Jackson Vision Clinic INC
Jackson Vision Clinic INC was paid $1.74M by Medicaid between Sep 2018 and Dec 2024, across 19 billing codes. Its largest line is 65778, — 36% of everything it billed.
33Billing provider infoJACKSON VISION CLINIC INC
SEATTLE, WA 98144
SEATTLE, WA 98144
33aNPI1215121140assigned 09/04/2007
33bProvider typeOptometrist
28Total paid$1.74M
24GClaims37,024
24DCodes billed19
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#3 of 565
Median peer was paid$23K
This provider vs. median75×
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 | 915 | $34K | |
| 2019 | 7,359 | $236K | |
| 2020 | 6,514 | $212K | |
| 2021 | 7,507 | $273K | |
| 2022 | 6,692 | $419K | |
| 2023 | 4,801 | $337K | |
| 2024incomplete | 3,236 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 65778 | 36% | 964 | 719 | $618K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 4,087 | 3,994 | $247K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10% | 3,761 | 3,474 | $180K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 2,705 | 2,632 | $177K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 3,766 | 2,636 | $127K |
| 92273 | 5.4% | 2,147 | 1,705 | $93K | |
| 92015 | Determination of refractive state | 3.6% | 6,842 | 6,669 | $62K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.2% | 3,250 | 3,089 | $56K |
| 92083 | 3.0% | 2,294 | 2,140 | $52K | |
| 92250 | 2.5% | 2,434 | 2,230 | $43K | |
| 95930 | 1.2% | 983 | 882 | $21K | |
| 92134 | <1% | 960 | 920 | $16K |
7 more codes
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 officialHOANG, SAMANTHA (DIRECTOR)