Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hayden Vision Source PLLC

Hayden Vision Source PLLC was paid $0.00 by Medicaid between Oct 2022 and Nov 2024, across 1 billing code. Its largest line is 92015, Determination of refractive state — 0% of everything it billed.

33Billing provider infoHAYDEN VISION SOURCE PLLC
HAYDEN, ID 83835
33aNPI1780345264assigned 01/06/2022
33bProvider typeOptometrist
28Total paid$0.00
24GClaims43
24DCodes billed1
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Optometrist providers in Idaho

Rank by total paid#130 of 134
Median peer was paid$35K
This provider vs. median0.0×

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
YearClaimsPaid
202216$0.00
202314$0.00
2024incomplete13$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 0% 43 43 $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 officialBRUNEEL, TYREL (OWNER)