Theurer, James

Theurer, James was paid $28K by Medicaid between Jan 2018 and Sep 2021, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 66% of everything it billed.

33Billing provider infoTHEURER, JAMES
PROVO, UT 84604

33aNPI1083685101assigned 01/27/2006

33bProvider typeOphthalmology Physician

28Total paid$28K

24GClaims828

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Ophthalmology Physician providers in Utah

Rank by total paid#17 of 62

Median peer was paid$7K

This provider vs. median4.1×

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	282	$10K
2019	316	$11K
2020	214	$7K
2021	16	$390.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	66%	274	267	$19K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	24%	70	70	$7K
92015	Determination of refractive state	8.4%	471	461	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.5%	13	12	$415.02

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.