Pickens, Harold
Pickens, Harold was paid $78K by Medicaid between Jan 2018 and Sep 2019, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoPICKENS, HAROLD
MARTINS FERRY, OH 43935
MARTINS FERRY, OH 43935
33aNPI1083672851assigned 05/02/2006
33bProvider typeOptometrist
28Total paid$78K
24GClaims2,306
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#388 of 1,098
Median peer was paid$41K
This provider vs. median1.9×
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 | 1,300 | $44K | |
| 2019 | 1,006 | $35K |
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 | 35% | 585 | 562 | $27K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 22% | 863 | 827 | $18K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 19% | 287 | 276 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 242 | 231 | $10K |
| 92341 | 9.0% | 275 | 271 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 54 | 52 | $828.59 |
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.