Blue Whale, INC
Blue Whale, INC was paid $448K by Medicaid between Nov 2018 and Dec 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoBLUE WHALE, INC
ALBUQUERQUE, NM 87114
ALBUQUERQUE, NM 87114
33aNPI1487051066assigned 11/26/2014
33bProvider typeOptometrist
28Total paid$448K
24GClaims6,001
24DCodes billed7
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Mexico
Rank by total paid#31 of 122
Median peer was paid$112K
This provider vs. median4.0×
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 | 32 | $0.00 | |
| 2019 | 1,135 | $67K | |
| 2020 | 1,368 | $95K | |
| 2021 | 1,391 | $92K | |
| 2022 | 924 | $72K | |
| 2023 | 593 | $58K | |
| 2024incomplete | 558 | $63K |
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 | 35% | 2,044 | 1,992 | $156K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 25% | 725 | 722 | $111K |
| 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 | 24% | 998 | 994 | $107K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 854 | 854 | $62K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.0% | 112 | 112 | $9K |
| 92015 | Determination of refractive state | <1% | 1,244 | 1,241 | $1K |
| 92250 | <1% | 24 | 24 | $1K |
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 officialMUNCEY, WILLIS (OWNER)