Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Prism Eye Associates LLC

Prism Eye Associates LLC was paid $848K by Medicaid between Dec 2020 and Mar 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 63% of everything it billed.

33Billing provider infoPRISM EYE ASSOCIATES LLC
ANCHORAGE, AK 99507
33aNPI1871100669assigned 09/26/2020
33bProvider typeOptometrist
28Total paid$848K
24GClaims10,419
24DCodes billed6
24AFirst – last monthDec 2020 – Mar 2024
Compared with peers

Next to other Optometrist providers in Alaska

Rank by total paid#14 of 63
Median peer was paid$265K
This provider vs. median3.2×

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$50K$100K2018201920202021202220232024
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
2020223$23K
20212,161$186K
20222,921$255K
20234,086$328K
2024incomplete1,028$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 63% 3,454 2,826 $538K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21% 1,281 1,039 $175K
92015 Determination of refractive state 13% 4,859 3,980 $112K
92340 Fitting of spectacles, except for aphakia; monofocal 2.2% 475 361 $19K
99002 <1% 297 227 $2K
92341 <1% 53 30 $2K

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 officialPEDIGO, DAVID (PRESIDENT)
Same official

Other billing entities under PEDIGO, DAVID

Full network →
ProviderLocationPaid
Far North Eye Care, LLCAnchorage, AK$2.51M
Brian E Coe Diabetic Vision Foundation INCAnchorage, AK$427K
Vision Centers of Alaska, INCKetchikan, AK$66K

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