Selah Vision Source, PLLC
Selah Vision Source, PLLC was paid $14K by Medicaid between Mar 2021 and Aug 2021, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 66% of everything it billed.
33Billing provider infoSELAH VISION SOURCE, PLLC
SELAH, WA 98942
SELAH, WA 98942
33aNPI1487787511assigned 03/14/2007
33bProvider typeOptometrist
28Total paid$14K
24GClaims344
24DCodes billed3
24AFirst – last monthMar 2021 – Aug 2021
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#328 of 565
Median peer was paid$23K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 344 | $14K |
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 | 66% | 128 | 128 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 30 | 30 | $3K |
| 92015 | Determination of refractive state | 16% | 186 | 186 | $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 officialGRAF, NANCY (PROJECTS MANAGER)