Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Smith, Douglas

Smith, Douglas was paid $87K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 68% of everything it billed.

33Billing provider infoSMITH, DOUGLAS
MEDFORD, OR 97504
33aNPI1083786644assigned 11/15/2006
33bProvider typeOptometrist
28Total paid$87K
24GClaims2,547
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Optometrist providers in Oregon

Rank by total paid#86 of 215
Median peer was paid$33K
This provider vs. median2.6×

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$5.0K$10K2018201920202021202220232024
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
20181,069$36K
2019998$34K
2020480$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 68% 818 721 $59K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 175 147 $13K
V2020 Frames, purchases 9.0% 661 539 $8K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.8% 238 184 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 2.9% 115 112 $3K
92015 Determination of refractive state <1% 528 495 $570.55
92341 <1% 12 12 $353.52

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.