Summit Eyecare PLLC
Summit Eyecare PLLC was paid $993K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoSUMMIT EYECARE PLLC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1992138432assigned 08/20/2013
33bProvider typeOptometrist
28Total paid$993K
24GClaims17,626
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Idaho
Rank by total paid#5 of 134
Median peer was paid$35K
This provider vs. median28×
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 | 2,331 | $120K | |
| 2019 | 2,536 | $134K | |
| 2020 | 2,484 | $153K | |
| 2021 | 2,824 | $178K | |
| 2022 | 2,937 | $169K | |
| 2023 | 2,426 | $131K | |
| 2024incomplete | 2,088 | $110K |
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 | 38% | 4,097 | 4,056 | $377K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26% | 2,249 | 2,221 | $258K |
| 92250 | 24% | 6,454 | 6,348 | $242K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 4,666 | 4,580 | $108K |
| 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% | 142 | 132 | $9K |
| 92015 | Determination of refractive state | <1% | 18 | 14 | $112.70 |
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 officialBIRCH, TODD (MANAGER)