Prate, James
Prate, James was paid $184K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoPRATE, JAMES
LAUREL SPRINGS, NJ 08021
LAUREL SPRINGS, NJ 08021
33aNPI1114968716assigned 06/08/2006
33bProvider typeOptometrist
28Total paid$184K
24GClaims35,719
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#61 of 599
Median peer was paid$2K
This provider vs. median102×
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 | 4,388 | $27K | |
| 2019 | 4,530 | $27K | |
| 2020 | 3,998 | $22K | |
| 2021 | 4,610 | $26K | |
| 2022 | 5,175 | $23K | |
| 2023 | 6,861 | $30K | |
| 2024incomplete | 6,157 | $30K |
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 | 34% | 5,086 | 5,070 | $63K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 2,855 | 2,840 | $33K |
| V2020 | Frames, purchases | 13% | 6,308 | 6,209 | $24K |
| 92250 | 12% | 750 | 739 | $23K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 12% | 7,873 | 4,842 | $22K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.9% | 6,394 | 3,741 | $11K |
| 92015 | Determination of refractive state | 3.5% | 5,076 | 5,043 | $6K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 278 | 187 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 798 | 418 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 58 | 58 | $0.00 |
| V2299 | Specialty bifocal (by report) | 0% | 29 | 15 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 29 | 15 | $0.00 |
3 more codes
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.