IDAHO EYE PROS IDAHO FALLS LLC
NPI: 1528494465
· IDAHO FALLS, ID 83404
· 152W00000X
$348K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
958 |
$14K |
| 2019 |
1,390 |
$34K |
| 2020 |
1,365 |
$41K |
| 2021 |
1,292 |
$60K |
| 2022 |
2,077 |
$77K |
| 2023 |
1,580 |
$62K |
| 2024 |
1,627 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,285 |
2,255 |
$201K |
| 92004 |
|
836 |
831 |
$95K |
| 92340 |
|
1,679 |
1,651 |
$39K |
| 99204 |
|
65 |
64 |
$7K |
| 99213 |
|
29 |
29 |
$2K |
| 92015 |
|
3,059 |
3,007 |
$2K |
| 99214 |
|
17 |
16 |
$1K |
| V2020 |
Vision svcs frames purchases |
1,415 |
1,389 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
887 |
526 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
17 |
13 |
$0.00 |