Jeffrey D. Heninger, O.D. PLLC
Jeffrey D. Heninger, O.D. PLLC was paid $11K by Medicaid between Jan 2018 and Feb 2020, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 57% of everything it billed.
33Billing provider infoJEFFREY D. HENINGER, O.D. PLLC
POLSON, MT 59860
POLSON, MT 59860
33aNPI1831382605assigned 08/24/2007
33bProvider typeOptometrist
28Total paid$11K
24GClaims314
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#84 of 113
Median peer was paid$95K
This provider vs. median0.1×
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 | 160 | $5K | |
| 2019 | 142 | $5K | |
| 2020 | 12 | $240.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 57% | 88 | 88 | $6K |
| 92015 | Determination of refractive state | 36% | 198 | 198 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.1% | 28 | 26 | $667.42 |
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 officialHENINGER, JEFFREY (OWNER)