Salmon River Vision Clinic, PLLC
Salmon River Vision Clinic, PLLC was paid $136K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 72% of everything it billed.
33Billing provider infoSALMON RIVER VISION CLINIC, PLLC
SALMON, ID 83467
SALMON, ID 83467
33aNPI1396018461assigned 02/20/2012
33bProvider typeOptometrist
28Total paid$136K
24GClaims2,886
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Idaho
Rank by total paid#33 of 134
Median peer was paid$35K
This provider vs. median3.9×
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 | 226 | $17K | |
| 2019 | 174 | $11K | |
| 2020 | 252 | $20K | |
| 2021 | 424 | $19K | |
| 2022 | 702 | $31K | |
| 2023 | 571 | $19K | |
| 2024incomplete | 537 | $18K |
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 | 72% | 1,118 | 1,117 | $98K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 283 | 283 | $33K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.7% | 215 | 215 | $5K |
| 92250 | <1% | 13 | 13 | $356.24 | |
| 92015 | Determination of refractive state | <1% | 1,091 | 1,087 | $2.85 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 166 | 163 | $0.00 |
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 officialJONES, DUSTIN (OWNER)