Bellevue Vision Clinic, PC
Bellevue Vision Clinic, PC was paid $31K by Medicaid between Jan 2018 and Mar 2024, across 9 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 48% of everything it billed.
33Billing provider infoBELLEVUE VISION CLINIC, PC
BELLEVUE, NE 68005
BELLEVUE, NE 68005
33aNPI1407042153assigned 09/17/2007
33bProvider typeVision Therapy Optometrist
28Total paid$31K
24GClaims1,564
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2024
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 | 92 | $3K | |
| 2019 | 116 | $2K | |
| 2020 | 165 | $3K | |
| 2021 | 224 | $4K | |
| 2022 | 260 | $4K | |
| 2023 | 695 | $14K | |
| 2024incomplete | 12 | $219.36 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 48% | 267 | 257 | $15K |
| 92015 | Determination of refractive state | 29% | 631 | 580 | $9K |
| V2020 | Frames, purchases | 6.2% | 241 | 236 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.6% | 99 | 57 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.4% | 27 | 25 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.6% | 16 | 15 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.9% | 52 | 25 | $578.76 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.4% | 13 | 13 | $426.24 |
| V2756 | Eye glass case | <1% | 218 | 210 | $245.12 |
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 officialPILLEN, KERRI (OWNER)