Lewis County Vision Source PC
Lewis County Vision Source PC was paid $111K by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 42% of everything it billed.
33Billing provider infoLEWIS COUNTY VISION SOURCE PC
CENTRALIA, WA 98531
CENTRALIA, WA 98531
33aNPI1356710933assigned 09/24/2015
33bProvider typeOptometrist
28Total paid$111K
24GClaims3,209
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#141 of 565
Median peer was paid$23K
This provider vs. median4.7×
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 | 1,294 | $45K | |
| 2019 | 1,708 | $59K | |
| 2020 | 207 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 42% | 597 | 593 | $47K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 407 | 401 | $28K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 969 | 905 | $19K |
| 92015 | Determination of refractive state | 11% | 1,108 | 1,099 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 128 | 115 | $5K |
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 officialPADGETT, KELLY (OWNER)