Cedar Valley Ophthalmology PC
Cedar Valley Ophthalmology PC was paid $42K by Medicaid between Jan 2018 and Jun 2020, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 59% of everything it billed.
33Billing provider infoCEDAR VALLEY OPHTHALMOLOGY PC
WATERLOO, IA 50701
WATERLOO, IA 50701
33aNPI1285618496assigned 12/01/2005
33bProvider typeOptometrist
28Total paid$42K
24GClaims1,420
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#216 of 521
Median peer was paid$28K
This provider vs. median1.5×
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 | 561 | $13K | |
| 2019 | 687 | $23K | |
| 2020 | 172 | $6K |
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 | 59% | 604 | 542 | $25K |
| 92015 | Determination of refractive state | 15% | 458 | 425 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.3% | 42 | 42 | $4K |
| 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 | 7.8% | 129 | 98 | $3K |
| 92134 | 4.6% | 89 | 80 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 98 | 80 | $2K |
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 officialMAUER, RICHARD (PRESIDENT)