Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Bellingham Bay Ophthalmology PLLC

Bellingham Bay Ophthalmology PLLC was paid $23K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.

33Billing provider infoBELLINGHAM BAY OPHTHALMOLOGY PLLC
BELLINGHAM, WA 98226
33aNPI1588649008assigned 12/07/2005
33bProvider typeOphthalmology Physician
28Total paid$23K
24GClaims590
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Washington

Rank by total paid#27 of 69
Median peer was paid$8K
This provider vs. median2.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KIM, JAMES controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018194$6K
201987$2K
202061$3K
202195$3K
202356$3K
2024incomplete97$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 53% 214 205 $12K
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 21% 92 85 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.8% 54 52 $2K
92015 Determination of refractive state 5.7% 149 143 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.9% 14 13 $1K
92083 3.0% 25 24 $708.73
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.3% 16 14 $531.05
99072 0% 26 23 $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 officialKIM, JAMES (OWNER)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.