Luxe Vision Utah LLC
Luxe Vision Utah LLC was paid $6K by Medicaid between Dec 2020 and Jul 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 97% of everything it billed.
33Billing provider infoLUXE VISION UTAH LLC
KAYSVILLE, UT 84037
KAYSVILLE, UT 84037
33aNPI1568002780assigned 01/15/2020
33bProvider typeOptometrist
28Total paid$6K
24GClaims1,191
24DCodes billed5
24AFirst – last monthDec 2020 – Jul 2024
Compared with peers
Next to other Optometrist providers in Utah
Rank by total paid#66 of 130
Median peer was paid$6K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 66 | $94.15 | |
| 2021 | 715 | $5K | |
| 2022 | 225 | $580.29 | |
| 2023 | 60 | $0.00 | |
| 2024incomplete | 125 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 97% | 477 | 387 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 123 | 120 | $94.02 |
| 2023F | 1.6% | 13 | 12 | $94.02 | |
| 92015 | Determination of refractive state | 0% | 476 | 391 | $0.00 |
| 92250 | 0% | 102 | 99 | $0.00 |
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 officialHAUCK, MATT (MANAGER)