Rachford, James
Rachford, James was paid $125K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoRACHFORD, JAMES
YUCCA VALLEY, CA 92284
YUCCA VALLEY, CA 92284
33aNPI1073593133assigned 01/17/2006
33bProvider typeOptometrist
28Total paid$125K
24GClaims6,087
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#464 of 1,899
Median peer was paid$23K
This provider vs. median5.5×
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 | |
|---|---|---|---|
| 2018 | 2,782 | $57K | |
| 2019 | 2,563 | $52K | |
| 2020 | 742 | $15K |
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 | 38% | 1,330 | 1,330 | $47K |
| V2020 | Frames, purchases | 19% | 1,221 | 1,217 | $23K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 1,120 | 1,114 | $22K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 513 | 513 | $18K |
| 92015 | Determination of refractive state | 11% | 1,886 | 1,886 | $14K |
| 92341 | <1% | 17 | 17 | $486.54 |
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.