Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pegg, James

Pegg, James was paid $292K by Medicaid between Jan 2018 and Aug 2022, across 10 billing codes. Its largest line is 92015, Determination of refractive state — 24% of everything it billed.

33Billing provider infoPEGG, JAMES
GRENADA, MS 38901
33aNPI1093167157assigned 07/12/2016
33bProvider typeOptometrist
28Total paid$292K
24GClaims7,425
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Optometrist providers in Mississippi

Rank by total paid#115 of 437
Median peer was paid$91K
This provider vs. median3.2×

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$10K$20K2018201920202021202220232024
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
20181,909$87K
20191,537$66K
20201,578$57K
20211,540$53K
2022861$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 24% 1,869 1,826 $71K
V2020 Frames, purchases 20% 1,662 1,631 $58K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 19% 777 768 $55K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13% 423 406 $38K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 9.7% 952 932 $28K
92340 Fitting of spectacles, except for aphakia; monofocal 9.3% 1,551 1,526 $27K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.0% 71 71 $9K
92002 1.5% 65 65 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 43 43 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 0% 12 12 $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.