Southeastern Utah Eye Clinic PC
Southeastern Utah Eye Clinic PC was paid $39K by Medicaid between Oct 2018 and Nov 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 77% of everything it billed.
33Billing provider infoSOUTHEASTERN UTAH EYE CLINIC PC
PRICE, UT 84501
PRICE, UT 84501
33aNPI1477736403assigned 12/13/2007
33bProvider typeOptometrist
28Total paid$39K
24GClaims1,369
24DCodes billed6
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Utah
Rank by total paid#39 of 130
Median peer was paid$6K
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2018 | 14 | $0.00 | |
| 2019 | 54 | $2K | |
| 2020 | 203 | $6K | |
| 2021 | 186 | $7K | |
| 2022 | 157 | $1K | |
| 2023 | 382 | $10K | |
| 2024incomplete | 373 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 77% | 389 | 376 | $30K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 52 | 52 | $6K |
| V2020 | Frames, purchases | 3.1% | 30 | 27 | $1K |
| 92015 | Determination of refractive state | 2.7% | 859 | 826 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.9% | 15 | 12 | $731.40 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 24 | 12 | $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 officialSACCOMANNO, JUDY (PRESIDENT STOCK HOLDER)