1013027101

1013027101 was paid $99K by Medicaid between Jan 2018 and Jan 2020, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.

33Billing provider info1013027101

33aNPI1013027101

33bProvider type—

28Total paid$99K

24GClaims2,749

24DCodes billed8

24AFirst – last monthJan 2018 – Jan 2020

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	1,605	$58K
2019	1,097	$39K
2020	47	$2K

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	30%	704	689	$30K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	22%	443	433	$22K
92015	Determination of refractive state	17%	580	560	$17K
92250		17%	454	430	$17K
92100		11%	368	345	$11K
92310		2.0%	29	28	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	25	25	$803.87
2026F		0%	146	146	$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.