Ultra Eyecare, P.C.
Ultra Eyecare, P.C. was paid $417K by Medicaid between Nov 2019 and Dec 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 68% of everything it billed.
33Billing provider infoULTRA EYECARE, P.C.
DES MOINES, IA 50320
DES MOINES, IA 50320
33aNPI1427614874assigned 05/11/2019
33bProvider typeOptometrist
28Total paid$417K
24GClaims8,515
24DCodes billed5
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#17 of 521
Median peer was paid$28K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 145 | $14K | |
| 2020 | 688 | $50K | |
| 2021 | 1,658 | $75K | |
| 2022 | 1,672 | $75K | |
| 2023 | 2,045 | $95K | |
| 2024incomplete | 2,307 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 68% | 3,064 | 3,044 | $285K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 1,152 | 1,149 | $80K |
| 92015 | Determination of refractive state | 12% | 4,256 | 4,192 | $50K |
| 92002 | <1% | 30 | 30 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13 | 13 | $632.97 |
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 officialBUDAHN, MICHAEL (OPTOMETRIST)