Oats, Jack

Oats, Jack was paid $20K by Medicaid between Feb 2018 and May 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 62% of everything it billed.

33Billing provider infoOATS, JACK
EAST SETAUKET, NY 11733

33aNPI1114921558assigned 06/13/2005

33bProvider typeOphthalmology Physician

28Total paid$20K

24GClaims719

24DCodes billed4

24AFirst – last monthFeb 2018 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#621 of 1,085

Median peer was paid$34K

This provider vs. median0.6×

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	115	$3K
2019	211	$5K
2020	120	$4K
2021	192	$5K
2022	27	$543.48
2023	12	$360.01
2024incomplete	42	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	62%	293	293	$12K
92015	Determination of refractive state	20%	374	368	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	15%	37	37	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.8%	15	15	$545.62

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.