Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Koch, James

Koch, James was paid $3K by Medicaid between May 2018 and Jul 2018, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 65% of everything it billed.

33Billing provider infoKOCH, JAMES
PERRY, IA 50220
33aNPI1013941509assigned 07/10/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims66
24DCodes billed3
24AFirst – last monthMay 2018 – Jul 2018
Compared with peers

Next to other Optometrist providers in Iowa

Rank by total paid#418 of 521
Median peer was paid$28K
This provider vs. median0.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201866$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 65% 28 27 $2K
V2020 Frames, purchases 24% 26 26 $663.50
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 11% 12 12 $306.24

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.