Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gifford, Matthew

Gifford, Matthew was paid $32K by Medicaid between Jun 2018 and Jan 2024, across 6 billing codes. Its largest line is V2020, Frames, purchases — 27% of everything it billed.

33Billing provider infoGIFFORD, MATTHEW
MISHAWAKA, IN 46545
33aNPI1124401773assigned 07/01/2015
33bProvider typeOptometrist
28Total paid$32K
24GClaims910
24DCodes billed6
24AFirst – last monthJun 2018 – Jan 2024
Compared with peers

Next to other Optometrist providers in Indiana

Rank by total paid#347 of 743
Median peer was paid$22K
This provider vs. median1.5×

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
2018594$15K
2019169$9K
202062$2K
2024incomplete85$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 27% 272 248 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24% 94 93 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 18% 67 67 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 18% 160 82 $6K
92015 Determination of refractive state 12% 304 303 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.3% 13 13 $728.61

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.