Artisan Pediatric Eyecare LLC
Artisan Pediatric Eyecare LLC was paid $1.38M by Medicaid between Aug 2019 and Dec 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoARTISAN PEDIATRIC EYECARE LLC
BOISE, ID 83704
BOISE, ID 83704
33aNPI1487128823assigned 01/18/2019
33bProvider typeSports Vision Optometrist
28Total paid$1.38M
24GClaims20,925
24DCodes billed7
24AFirst – last monthAug 2019 – Dec 2024
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 | 1,325 | $95K | |
| 2020 | 3,861 | $270K | |
| 2021 | 4,592 | $299K | |
| 2022 | 4,393 | $290K | |
| 2023 | 3,657 | $239K | |
| 2024incomplete | 3,097 | $188K |
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 | 40% | 5,158 | 5,156 | $548K |
| 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 | 38% | 5,369 | 5,318 | $530K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 2,090 | 2,090 | $268K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 194 | 193 | $24K |
| 92015 | Determination of refractive state | <1% | 8,090 | 8,089 | $8K |
| 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 | <1% | 12 | 12 | $1K |
| 92310 | <1% | 12 | 12 | $897.05 |
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 officialJOHNSON, JEFFREY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| City of Newport News | Newport News, VA | $5.72M |
| Jeffrey C. Johnson | Boise, ID | $330K |
| Twin Peaks Medical P.C. | West Jordan, UT | $211K |
| Danville Pediatric Dentistry, PSC | Danville, KY | $78K |
| DJR2 Professional Limited Liability Company | Danville, KY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.