Arthur, Ruby
Arthur, Ruby was paid $7K by Medicaid between Jan 2020 and Sep 2022, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.
33Billing provider infoARTHUR, RUBY
HERNDON, VA 20171
HERNDON, VA 20171
33aNPI1073692869assigned 11/03/2006
33bProvider typeOptometrist
28Total paid$7K
24GClaims547
24DCodes billed6
24AFirst – last monthJan 2020 – Sep 2022
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#319 of 491
Median peer was paid$23K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 129 | $2K | |
| 2021 | 134 | $2K | |
| 2022 | 284 | $4K |
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 | 41% | 149 | 135 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 91 | 88 | $2K |
| V2020 | Frames, purchases | 21% | 189 | 166 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15% | 79 | 71 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 12 | 12 | $65.00 |
| 92250 | 0% | 27 | 24 | $0.00 |
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.