Physician
Helena Eye Clinic PC
Helena Eye Clinic PC was paid $53K by Medicaid between Jan 2018 and Sep 2021, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoHELENA EYE CLINIC PC
HELENA, MT 59601
HELENA, MT 59601
33aNPI1679585996assigned 08/13/2006
33bProvider typeOphthalmology Physician
28Total paid$53K
24GClaims1,323
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Ophthalmology Physician providers in Montana
Rank by total paid#13 of 23
Median peer was paid$78K
This provider vs. median0.7×
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 | 232 | $7K | |
| 2019 | 362 | $16K | |
| 2020 | 278 | $11K | |
| 2021 | 451 | $19K |
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 | 40% | 192 | 181 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 133 | 127 | $11K |
| 92015 | Determination of refractive state | 17% | 643 | 616 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 229 | 207 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 10% | 107 | 92 | $5K |
| 99072 | 1.0% | 19 | 19 | $540.00 |
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 officialWILKERSON, CRAIG (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Montana Surgery Center | Helena, MT | $4.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.