Herron, David
Herron, David was paid $11K by Medicaid between Oct 2018 and Mar 2023, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.
33Billing provider infoHERRON, DAVID
BRAINTREE, MA 02184
BRAINTREE, MA 02184
33aNPI1093788242assigned 02/08/2006
33bProvider typeOptometrist
28Total paid$11K
24GClaims317
24DCodes billed3
24AFirst – last monthOct 2018 – Mar 2023
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#333 of 629
Median peer was paid$15K
This provider vs. median0.7×
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 | 15 | $187.65 | |
| 2019 | 53 | $2K | |
| 2020 | 14 | $284.90 | |
| 2021 | 162 | $6K | |
| 2022 | 44 | $2K | |
| 2023 | 29 | $590.15 |
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 | 46% | 50 | 50 | $5K |
| 92015 | Determination of refractive state | 44% | 255 | 254 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.7% | 12 | 12 | $1K |
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.