Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

PNW Eye PLLC

PNW Eye PLLC was paid $85K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 45% of everything it billed.

33Billing provider infoPNW EYE PLLC
TACOMA, WA 98405
33aNPI1750663084assigned 09/13/2011
28Total paid$85K
24GClaims3,116
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Washington

Rank by total paid#35 of 73
Median peer was paid$69K
This provider vs. median1.2×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018315$28K
2019622$25K
2020271$7K
2021459$15K
202259$1K
2023826$8K
2024incomplete564$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 45% 1,037 1,035 $38K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 35% 162 147 $30K
92015 Determination of refractive state 13% 1,764 1,762 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7.3% 92 92 $6K
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 0% 61 59 $0.00

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 officialWALLACE, ROBYN (ADMINISTRATOR)
Same official

Other billing entities under WALLACE, ROBYN

Full network →
ProviderLocationPaid
PNW Eye, PLLCTacoma, WA$216K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.