Kootenai Vision, PLLC
Kootenai Vision, PLLC was paid $168K by Medicaid between Mar 2018 and Sep 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 62% of everything it billed.
33Billing provider infoKOOTENAI VISION, PLLC
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
33aNPI1386856284assigned 05/04/2007
33bProvider typeOptometrist
28Total paid$168K
24GClaims5,085
24DCodes billed4
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Idaho
Rank by total paid#30 of 134
Median peer was paid$35K
This provider vs. median4.8×
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 | 988 | $34K | |
| 2019 | 1,016 | $35K | |
| 2020 | 817 | $30K | |
| 2021 | 468 | $15K | |
| 2022 | 844 | $25K | |
| 2023 | 709 | $21K | |
| 2024incomplete | 243 | $7K |
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 | 62% | 1,081 | 1,061 | $103K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 298 | 293 | $35K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 1,209 | 1,192 | $28K |
| 92015 | Determination of refractive state | 1.0% | 2,497 | 2,449 | $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 officialFAGAN, LANCE (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| ST Maries Vision Center, PLLC | St Maries, ID | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.