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

Paulson, James was paid $35K by Medicaid between Nov 2020 and Nov 2022, across 3 billing codes. Its largest line is V2020, Frames, purchases — 47% of everything it billed.

33Billing provider infoPAULSON, JAMES
EDINBORO, PA 16412
33aNPI1033297221assigned 11/02/2006
33bProvider typeOptometrist
28Total paid$35K
24GClaims802
24DCodes billed3
24AFirst – last monthNov 2020 – Nov 2022
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#407 of 983
Median peer was paid$20K
This provider vs. median1.7×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
202041$1K
2021504$21K
2022257$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 47% 184 179 $16K
S0621 Routine ophthalmological examination including refraction; established patient 34% 397 395 $12K
S0620 Routine ophthalmological examination including refraction; new patient 19% 221 221 $7K

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.