KOOTENAI VISION, PLLC
NPI: 1386856284
· COEUR D ALENE, ID 83814
· Optometrist
· NPI assigned 05/04/2007
$168K
Total Medicaid Paid
Provider Details
| Authorized Official | FAGAN, LANCE (MANAGING MEMBER) |
| NPI Enumeration Date | 05/04/2007 |
Related Entities
Other providers sharing the same authorized official: FAGAN, LANCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
988 |
$34K |
| 2019 |
1,016 |
$35K |
| 2020 |
817 |
$30K |
| 2021 |
468 |
$15K |
| 2022 |
844 |
$25K |
| 2023 |
709 |
$21K |
| 2024 |
243 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,081 |
1,061 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
298 |
293 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,209 |
1,192 |
$28K |
| 92015 |
Determination of refractive state |
2,497 |
2,449 |
$2K |