Supplier
Eye Clinic of Sandpoint PA
Eye Clinic of Sandpoint PA was paid $152K by Medicaid between Feb 2018 and Nov 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 79% of everything it billed.
33Billing provider infoEYE CLINIC OF SANDPOINT PA
SANDPOINT, ID 83864
SANDPOINT, ID 83864
33aNPI1215945431assigned 08/03/2006
33bProvider typeEyewear Supplier
28Total paid$152K
24GClaims5,126
24DCodes billed6
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in Idaho
Rank by total paid#4 of 11
Median peer was paid$82K
This provider vs. median1.9×
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 | 419 | $7K | |
| 2019 | 649 | $15K | |
| 2020 | 503 | $7K | |
| 2021 | 834 | $28K | |
| 2022 | 1,044 | $32K | |
| 2023 | 917 | $33K | |
| 2024incomplete | 760 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 79% | 1,508 | 1,452 | $120K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 215 | 209 | $25K |
| 92015 | Determination of refractive state | 1.8% | 3,268 | 3,107 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.2% | 80 | 79 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $1K |
| 92250 | <1% | 43 | 37 | $967.27 |
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 officialPETERSEN, JASON (PHYSICIAN-OWNER)