James H. Poole & Associates, O.D., P.C.
James H. Poole & Associates, O.D., P.C. was paid $65K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 58% of everything it billed.
ALEXANDER CITY, AL 35010
Next to other Corneal and Contact Management Optometrist providers in Alabama
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 894 | $18K | |
| 2019 | 782 | $18K | |
| 2020 | 295 | $6K | |
| 2021 | 372 | $8K | |
| 2022 | 350 | $7K | |
| 2023 | 274 | $7K | |
| 2024incomplete | 103 | $981.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 58% | 785 | 723 | $38K |
| 92015 | Determination of refractive state | 20% | 1,605 | 1,474 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 527 | 477 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.5% | 60 | 55 | $4K |
| 92250 | 2.8% | 54 | 51 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 26 | 24 | $833.13 |
| 92341 | <1% | 13 | 13 | $234.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| James H. Poole, O.D. | Ashland, AL | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.