Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Koch, Paul

Koch, Paul was paid $35K by Medicaid between Jan 2018 and Apr 2022, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 54% of everything it billed.

33Billing provider infoKOCH, PAUL
PONDERAY, ID 83852
33aNPI1124060041assigned 06/12/2006
33bProvider typeOptometrist
28Total paid$35K
24GClaims705
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Optometrist providers in Idaho

Rank by total paid#68 of 134
Median peer was paid$35K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
2018324$18K
2019198$9K
202099$5K
202155$2K
202229$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 54% 189 182 $19K
92340 Fitting of spectacles, except for aphakia; monofocal 29% 465 442 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17% 51 50 $6K

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.