Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Loughman, Stephen

Loughman, Stephen was paid $30K by Medicaid between Jan 2018 and Apr 2019, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.

33Billing provider infoLOUGHMAN, STEPHEN
LENEXA, KS 66219
33aNPI1043230675assigned 07/19/2006
33bProvider typeOptometrist
28Total paid$30K
24GClaims1,458
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Optometrist providers in Kansas

Rank by total paid#144 of 349
Median peer was paid$17K
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$4.0K2018201920202021202220232024
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
20181,149$23K
2019309$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 30% 438 421 $9K
V2020 Frames, purchases 24% 452 441 $7K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 17% 234 138 $5K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 16% 218 128 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 95 91 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 21 12 $178.72

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.