Ott, Andrew
Ott, Andrew was paid $75K by Medicaid between Feb 2019 and Aug 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoOTT, ANDREW
PELLA, IA 50219
PELLA, IA 50219
33aNPI1013320985assigned 06/08/2014
33bProvider typeOptometrist
28Total paid$75K
24GClaims2,337
24DCodes billed7
24AFirst – last monthFeb 2019 – Aug 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#169 of 521
Median peer was paid$28K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2019 | 381 | $11K | |
| 2020 | 478 | $12K | |
| 2021 | 965 | $27K | |
| 2022 | 321 | $13K | |
| 2023 | 177 | $11K | |
| 2024incomplete | 15 | $927.93 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 53% | 656 | 651 | $40K |
| 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 | 27% | 310 | 304 | $20K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.8% | 111 | 108 | $6K |
| 92250 | 6.1% | 91 | 89 | $5K | |
| 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 | 5.0% | 33 | 32 | $4K |
| 92060 | <1% | 13 | 13 | $674.70 | |
| 92015 | Determination of refractive state | <1% | 1,123 | 1,109 | $30.10 |
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.