River Lake Clinic LLC
River Lake Clinic LLC was paid $1.94M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 83861, — 17% of everything it billed.
33Billing provider infoRIVER LAKE CLINIC LLC
MINNEAPOLIS, MN 55406
MINNEAPOLIS, MN 55406
33aNPI1902932965assigned 02/26/2007
33bProvider typeOccupational Vision Optometrist
28Total paid$1.94M
24GClaims61,891
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
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 | 7,495 | $64K | |
| 2019 | 7,917 | $295K | |
| 2020 | 7,671 | $255K | |
| 2021 | 7,873 | $261K | |
| 2022 | 7,716 | $264K | |
| 2023 | 11,079 | $370K | |
| 2024incomplete | 12,140 | $434K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 83861 | 17% | 16,378 | 7,837 | $326K | |
| 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 | 14% | 3,850 | 3,611 | $267K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 3,369 | 3,314 | $253K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 2,264 | 2,235 | $202K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.7% | 2,630 | 2,439 | $150K |
| 92285 | 6.1% | 9,191 | 8,550 | $119K | |
| 92083 | 5.4% | 2,713 | 2,624 | $106K | |
| 92250 | 5.2% | 4,013 | 3,877 | $100K | |
| 92015 | Determination of refractive state | 3.9% | 6,560 | 6,459 | $75K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.7% | 3,118 | 3,090 | $72K |
| 68761 | 3.5% | 897 | 437 | $68K | |
| 92273 | 3.0% | 691 | 682 | $59K |
10 more codes
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 officialHANEN-SMITH, MICHEL (MEMBER)