Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cedar Opthalmic Associates PLLC

Cedar Opthalmic Associates PLLC was paid $59K by Medicaid between Mar 2019 and Oct 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.

33Billing provider infoCEDAR OPTHALMIC ASSOCIATES PLLC
CEDAR CITY, UT 84720
33aNPI1467964924assigned 10/24/2017
33bProvider typeOphthalmology Physician
28Total paid$59K
24GClaims1,272
24DCodes billed7
24AFirst – last monthMar 2019 – Oct 2024
Compared with peers

Next to other Ophthalmology Physician providers in Utah

Rank by total paid#11 of 62
Median peer was paid$7K
This provider vs. median8.7×

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$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
201988$2K
2020169$5K
2021451$24K
2022292$14K
2023172$9K
2024incomplete100$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 53% 673 547 $31K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 30% 434 355 $18K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.0% 51 49 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.0% 62 55 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.4% 27 25 $3K
92002 1.0% 12 12 $620.88
92015 Determination of refractive state 0% 13 13 $0.00

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 officialGRONNING, RACHELLE (OFFICE MANAGER)