Kokopelli Eye Care PC
Kokopelli Eye Care PC was paid $65K by Medicaid between Jan 2018 and Apr 2020, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 58% of everything it billed.
33Billing provider infoKOKOPELLI EYE CARE PC
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
33aNPI1528005444assigned 05/31/2006
33bProvider typeSpecialist
28Total paid$65K
24GClaims1,471
24DCodes billed10
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Specialist providers in Arizona
Rank by total paid#108 of 179
Median peer was paid$112K
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 | |
|---|---|---|---|
| 2018 | 1,104 | $48K | |
| 2019 | 354 | $15K | |
| 2020 | 13 | $1K |
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 | 58% | 707 | 644 | $37K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 24% | 432 | 358 | $15K |
| 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 | 7.8% | 61 | 55 | $5K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.8% | 16 | 13 | $2K |
| 92250 | 2.0% | 27 | 26 | $1K | |
| V2020 | Frames, purchases | 1.9% | 60 | 42 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.4% | 38 | 27 | $926.90 |
| 92136 | 1.4% | 30 | 28 | $924.98 | |
| 92134 | <1% | 65 | 61 | $447.59 | |
| 92015 | Determination of refractive state | <1% | 35 | 34 | $391.32 |
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 officialHAM, MICHAEL (PRESIDENT)