Physician
Blue Mountain Eye PLLC
Blue Mountain Eye PLLC was paid $55K by Medicaid between Feb 2018 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoBLUE MOUNTAIN EYE PLLC
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
33aNPI1255631016assigned 10/27/2010
33bProvider typeGlaucoma Specialist (Ophthalmology) Physician
28Total paid$55K
24GClaims1,458
24DCodes billed8
24AFirst – last monthFeb 2018 – Oct 2024
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 | 143 | $4K | |
| 2019 | 155 | $4K | |
| 2020 | 92 | $2K | |
| 2021 | 381 | $21K | |
| 2022 | 331 | $10K | |
| 2023 | 291 | $12K | |
| 2024incomplete | 65 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 552 | 466 | $17K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 23% | 95 | 69 | $13K |
| 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 | 20% | 217 | 185 | $11K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 245 | 216 | $7K |
| 92136 | 6.1% | 280 | 203 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 27 | 26 | $2K |
| 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 | 1.7% | 29 | 25 | $938.69 |
| 92083 | <1% | 13 | 13 | $474.14 |
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 officialHIGGINBOTHAM, BENJAMIN (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| West Coast Retina Medical Group, INC. | San Francisco, CA | $2.84M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.