Ralston, James

Ralston, James was paid $578K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 61% of everything it billed.

33Billing provider infoRALSTON, JAMES
PINEVILLE, LA 71360

33aNPI1003891433assigned 12/08/2005

33bProvider typeOphthalmology Physician

28Total paid$578K

24GClaims16,190

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Louisiana

Rank by total paid#17 of 187

Median peer was paid$28K

This provider vs. median21×

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	3,347	$121K
2019	3,656	$121K
2020	1,911	$69K
2021	2,186	$86K
2022	2,088	$77K
2023	2,052	$75K
2024incomplete	950	$29K

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	61%	7,574	6,885	$354K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	19%	1,731	1,529	$112K
92083		6.8%	1,583	1,359	$39K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.8%	1,533	1,291	$33K
92020		2.7%	1,755	1,510	$15K
92133		2.1%	990	856	$12K
92250		1.8%	479	409	$11K
92134		<1%	217	193	$2K
2027F		0%	157	120	$0.00
0517F		0%	158	121	$0.00
4177F		0%	13	12	$0.00

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.