Hertzog, James
Hertzog, James was paid $95K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 42% of everything it billed.
33Billing provider infoHERTZOG, JAMES
CABOT, AR 72023
CABOT, AR 72023
33aNPI1124052188assigned 07/10/2006
33bProvider typeOptometrist
28Total paid$95K
24GClaims2,118
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Arkansas
Rank by total paid#162 of 354
Median peer was paid$79K
This provider vs. median1.2×
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 | 1,183 | $54K | |
| 2019 | 283 | $12K | |
| 2020 | 159 | $7K | |
| 2021 | 63 | $3K | |
| 2022 | 92 | $4K | |
| 2023 | 56 | $2K | |
| 2024incomplete | 282 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 42% | 830 | 813 | $40K |
| 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 | 26% | 381 | 375 | $25K |
| 92015 | Determination of refractive state | 25% | 771 | 750 | $24K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.4% | 39 | 39 | $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 | 1.8% | 53 | 50 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.5% | 19 | 19 | $1K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 13 | 12 | $722.76 |
| 92250 | <1% | 12 | 12 | $478.83 |
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.