Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mcclain, Nathan

Mcclain, Nathan was paid $18K by Medicaid between Jun 2018 and Dec 2018, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.

33Billing provider infoMCCLAIN, NATHAN
BEDFORD, IN 47421
33aNPI1053518647assigned 06/28/2007
33bProvider typeOptometrist
28Total paid$18K
24GClaims550
24DCodes billed6
24AFirst – last monthJun 2018 – Dec 2018
Compared with peers

Next to other Optometrist providers in Indiana

Rank by total paid#384 of 743
Median peer was paid$22K
This provider vs. median0.8×

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
2018550$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 41% 95 79 $8K
V2020 Frames, purchases 17% 150 116 $3K
V2755 U-v lens, per lens 14% 109 81 $2K
92015 Determination of refractive state 12% 154 122 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 7.8% 28 24 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.7% 14 14 $1K

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.