Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Elite Eyecare PC

Elite Eyecare PC was paid $68K by Medicaid between Jan 2018 and Feb 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 78% of everything it billed.

33Billing provider infoELITE EYECARE PC
COEUR D ALENE, ID 83814
33aNPI1639267313assigned 10/10/2006
33bProvider typeOptometrist
28Total paid$68K
24GClaims1,520
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Optometrist providers in Idaho

Rank by total paid#48 of 134
Median peer was paid$35K
This provider vs. median1.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018359$16K
2019288$17K
2020348$13K
2021279$10K
2022136$5K
202397$4K
2024incomplete13$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 78% 636 624 $53K
92340 Fitting of spectacles, except for aphakia; monofocal 19% 580 573 $13K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.3% 12 12 $2K
92081 <1% 12 12 $352.10
92015 Determination of refractive state <1% 280 279 $23.83

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 officialGARN, DANIEL (PRESIDENT/OWNER)