Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Zachary M Oswald PLLC

Zachary M Oswald PLLC was paid $231K by Medicaid between Aug 2018 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.

33Billing provider infoZACHARY M OSWALD PLLC
DILLON, MT 59725
33aNPI1124516943assigned 04/26/2018
33bProvider typeOptometrist
28Total paid$231K
24GClaims4,551
24DCodes billed8
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Montana

Rank by total paid#39 of 113
Median peer was paid$95K
This provider vs. median2.4×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018282$16K
2019524$29K
2020444$20K
2021672$30K
20221,053$56K
2023931$47K
2024incomplete645$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 43% 1,026 1,014 $100K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 31% 593 580 $72K
92015 Determination of refractive state 14% 2,105 2,074 $33K
92340 Fitting of spectacles, except for aphakia; monofocal 8.6% 690 678 $20K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 29 28 $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% 31 28 $2K
92250 <1% 64 64 $1K
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 <1% 13 13 $610.46

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.

From NPPES

Who's on the registration

Authorized officialOSWALD, ZACHARY (OWNER)