Heninger, Jeffrey
Heninger, Jeffrey was paid $159K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
33Billing provider infoHENINGER, JEFFREY
POLSON, MT 59860
POLSON, MT 59860
33aNPI1881894608assigned 07/19/2007
33bProvider typeOptometrist
28Total paid$159K
24GClaims4,652
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#43 of 113
Median peer was paid$95K
This provider vs. median1.7×
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 | 845 | $24K | |
| 2019 | 661 | $18K | |
| 2020 | 609 | $19K | |
| 2021 | 742 | $26K | |
| 2022 | 817 | $32K | |
| 2023 | 579 | $23K | |
| 2024incomplete | 399 | $17K |
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 | 49% | 987 | 934 | $78K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 1,210 | 1,155 | $32K |
| 92015 | Determination of refractive state | 19% | 2,191 | 2,087 | $31K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.8% | 166 | 158 | $14K |
| 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 | 1.4% | 54 | 51 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 44 | 43 | $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.