Montana Eyecare LLP
Montana Eyecare LLP was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.
33Billing provider infoMONTANA EYECARE LLP
HELENA, MT 59601
HELENA, MT 59601
33aNPI1629020722assigned 05/17/2006
33bProvider typeOptometrist
28Total paid$1.10M
24GClaims23,749
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#7 of 113
Median peer was paid$95K
This provider vs. median12×
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 | 4,235 | $183K | |
| 2019 | 4,169 | $191K | |
| 2020 | 3,268 | $157K | |
| 2021 | 3,954 | $177K | |
| 2022 | 3,507 | $166K | |
| 2023 | 3,102 | $150K | |
| 2024incomplete | 1,514 | $73K |
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 | 46% | 5,808 | 5,222 | $506K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 2,836 | 2,635 | $312K |
| 92015 | Determination of refractive state | 14% | 10,215 | 9,502 | $152K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 4,692 | 4,307 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 92 | 74 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 72 | 52 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | 28 | $1K |
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 officialSIMONS, WILLIAM (OPTOMETRIST)