Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WY › Powell › NPI 1336355627

Heart Mountain Eyecare Group

Heart Mountain Eyecare Group was paid $20K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 43% of everything it billed.

33Billing provider infoHEART MOUNTAIN EYECARE GROUP
POWELL, WY 82435
33aNPI1336355627assigned 05/15/2007
28Total paid$20K
24GClaims910
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018112$4K
201999$2K
202094$2K
202180$1K
2022144$3K
2023304$6K
2024incomplete77$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 43% 580 566 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 31% 67 67 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6.7% 12 12 $1K
S9986 Not medically necessary service (patient is aware that service not medically necessary) 5.0% 179 178 $975.00
V2020 Frames, purchases 4.4% 12 12 $859.80
V2784 Lens, polycarbonate or equal, any index, per lens 4.3% 24 12 $848.60
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.3% 24 12 $636.80
92340 Fitting of spectacles, except for aphakia; monofocal 2.0% 12 12 $383.88

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 officialTOLAND, JOSEPH (OWNER)