Valley Eye Care Associates, P.A.
Valley Eye Care Associates, P.A. was paid $79K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 54% of everything it billed.
33Billing provider infoVALLEY EYE CARE ASSOCIATES, P.A.
FORT KENT, ME 04743
FORT KENT, ME 04743
33aNPI1801139084assigned 04/05/2013
33bProvider typeOptometrist
28Total paid$79K
24GClaims7,167
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#47 of 94
Median peer was paid$70K
This provider vs. median1.1×
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 | 1,277 | $13K | |
| 2019 | 1,811 | $10K | |
| 2020 | 697 | $5K | |
| 2021 | 879 | $7K | |
| 2022 | 660 | $10K | |
| 2023 | 999 | $20K | |
| 2024incomplete | 844 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 54% | 1,143 | 981 | $43K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 689 | 626 | $22K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.8% | 75 | 74 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 119 | 112 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.2% | 93 | 88 | $2K |
| 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% | 16 | 15 | $597.08 |
| 92015 | Determination of refractive state | <1% | 847 | 762 | $511.20 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,325 | 1,125 | $0.01 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,152 | 974 | $0.01 |
| 1036F | <1% | 1,171 | 989 | $0.01 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 537 | 450 | $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 officialRIOUX, TIMOTHY (PRESIDENT)