Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ebert, Pam

Ebert, Pam was paid $54K by Medicaid between Apr 2019 and Dec 2019, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 25% of everything it billed.

33Billing provider infoEBERT, PAM
SPRINGFIELD, OR 97477
33aNPI1124155528assigned 02/27/2007
33bProvider typeOptometrist
28Total paid$54K
24GClaims1,386
24DCodes billed7
24AFirst – last monthApr 2019 – Dec 2019
Compared with peers

Next to other Optometrist providers in Oregon

Rank by total paid#97 of 215
Median peer was paid$33K
This provider vs. median1.6×

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

$0$5.0K$10K2018201920202021202220232024
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
20191,386$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 25% 127 126 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 136 136 $13K
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 18% 198 195 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 9.5% 220 203 $5K
V2020 Frames, purchases 8.3% 203 199 $4K
92015 Determination of refractive state 7.8% 293 292 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7.5% 209 205 $4K

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.