Cloepfil, James
Cloepfil, James was paid $12K by Medicaid between Mar 2018 and Nov 2021, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 65% of everything it billed.
33Billing provider infoCLOEPFIL, JAMES
SHENANDOAH, IA 51601
SHENANDOAH, IA 51601
33aNPI1093706731assigned 11/02/2005
33bProvider typeOptometrist
28Total paid$12K
24GClaims390
24DCodes billed5
24AFirst – last monthMar 2018 – Nov 2021
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#341 of 521
Median peer was paid$28K
This provider vs. median0.4×
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 | 185 | $5K | |
| 2019 | 137 | $4K | |
| 2020 | 42 | $2K | |
| 2021 | 26 | $845.26 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 65% | 172 | 172 | $8K |
| V2020 | Frames, purchases | 23% | 111 | 111 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 38 | 38 | $1K |
| V2756 | Eye glass case | <1% | 57 | 57 | $61.56 |
| 92015 | Determination of refractive state | 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.