SALMON RIVER VISION CLINIC, PLLC
NPI: 1396018461
· SALMON, ID 83467
· 152W00000X
$136K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
226 |
$17K |
| 2019 |
174 |
$11K |
| 2020 |
252 |
$20K |
| 2021 |
424 |
$19K |
| 2022 |
702 |
$31K |
| 2023 |
571 |
$19K |
| 2024 |
537 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
|
1,118 |
1,117 |
$98K |
| 92004 |
|
283 |
283 |
$33K |
| 92340 |
|
215 |
215 |
$5K |
| 92250 |
|
13 |
13 |
$356.24 |
| 92015 |
|
1,091 |
1,087 |
$2.85 |
| G8427 |
Docrev cur meds by elig clin |
166 |
163 |
$0.00 |