Blue River Vision PLLC

Blue River Vision PLLC was paid $183K by Medicaid between Dec 2018 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.

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	26	$2K
2019	161	$9K
2020	227	$10K
2021	798	$27K
2022	1,359	$47K
2023	1,355	$49K
2024incomplete	1,018	$39K

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	43%	727	658	$78K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	30%	582	530	$55K
V2020	Frames, purchases	9.1%	441	372	$17K
V2784	Lens, polycarbonate or equal, any index, per lens	5.8%	594	501	$11K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	5.3%	163	133	$10K
V2750	Anti-reflective coating, per lens	3.3%	478	406	$6K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2.1%	105	81	$4K
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	110	94	$2K
92015	Determination of refractive state	<1%	1,716	1,534	$1K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	<1%	28	26	$147.69

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 officialHEGEWALD, JESSICA (OPTOMETRIST / OWNER)