Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Eye Center of Ephraim, LLC

Eye Center of Ephraim, LLC was paid $322K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.

33Billing provider infoEYE CENTER OF EPHRAIM, LLC
EPHRAIM, UT 84627
33aNPI1457548216assigned 09/26/2007
33bProvider typeOptometrist
28Total paid$322K
24GClaims8,119
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Utah

Rank by total paid#6 of 130
Median peer was paid$6K
This provider vs. median55×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,517$49K
20191,420$45K
2020674$24K
20211,255$64K
20221,300$66K
20231,188$45K
2024incomplete765$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 39% 1,549 1,528 $124K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 970 953 $94K
V2020 Frames, purchases 26% 1,295 1,272 $85K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.4% 506 395 $14K
92015 Determination of refractive state 1.0% 3,696 3,627 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 103 73 $2K

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 officialCUMMINGS, DARIN (OWNER)