Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Waters, Amy

Waters, Amy was paid $72K by Medicaid between Jan 2018 and Jun 2020, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 23% of everything it billed.

33Billing provider infoWATERS, AMY
KANSAS CITY, MO 64108
33aNPI1093975153assigned 06/12/2008
33bProvider typePediatric Optometrist
28Total paid$72K
24GClaims3,311
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Pediatric Optometrist providers in Missouri

Rank by total paid#2 of 9
Median peer was paid$36K
This provider vs. median2.0×

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
20182,398$57K
2019789$14K
2020124$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 279 241 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 498 460 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20% 267 227 $14K
92015 Determination of refractive state 11% 1,501 1,335 $8K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7.8% 147 143 $6K
V2020 Frames, purchases 7.1% 245 190 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 4.6% 192 93 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.5% 105 76 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 21 16 $700.94
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 14 14 $674.67
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) <1% 42 29 $247.50

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.