Physician
Valley Eye Associates
Valley Eye Associates was paid $188K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 54% of everything it billed.
33Billing provider infoVALLEY EYE ASSOCIATES
APPLETON, WI 54914
APPLETON, WI 54914
33aNPI1699789032assigned 07/29/2006
33bProvider typeOphthalmology Physician
28Total paid$188K
24GClaims10,282
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Wisconsin
Rank by total paid#3 of 43
Median peer was paid$4K
This provider vs. median43×
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 | 1,230 | $28K | |
| 2019 | 1,901 | $17K | |
| 2020 | 1,220 | $15K | |
| 2021 | 2,243 | $35K | |
| 2022 | 1,684 | $42K | |
| 2023 | 1,806 | $43K | |
| 2024incomplete | 198 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 54% | 620 | 419 | $102K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 1,749 | 1,523 | $30K |
| 92015 | Determination of refractive state | 14% | 6,347 | 5,192 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 560 | 342 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.4% | 510 | 432 | $10K |
| 92285 | 1.9% | 285 | 114 | $4K | |
| 92136 | 1.6% | 175 | 57 | $3K | |
| 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 | <1% | 21 | 16 | $350.57 |
| 68841 | <1% | 15 | 13 | $289.34 |
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 officialJACOBS, JEAN (BUSINESS MANAGER)