Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SALMON RIVER VISION CLINIC, PLLC

NPI: 1396018461 · SALMON, ID 83467 · Optometrist · NPI assigned 02/20/2012

$136K
Total Medicaid Paid
2,886
Total Claims
2,878
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJONES, DUSTIN (OWNER)
NPI Enumeration Date02/20/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 226 $17K
2019 174 $11K
2020 252 $20K
2021 424 $19K
2022 702 $31K
2023 571 $19K
2024 537 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,118 1,117 $98K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 283 283 $33K
92340 Fitting of spectacles, except for aphakia; monofocal 215 215 $5K
92250 13 13 $356.24
92015 Determination of refractive state 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 166 163 $0.00