Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1407042153assigned 09/17/2007
28Total paid$31K
24GClaims1,564
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2024
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201892$3K
2019116$2K
2020165$3K
2021224$4K
2022260$4K
2023695$14K
2024incomplete12$219.36
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)