Clifton, Danny
Clifton, Danny was paid $333K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 34% of everything it billed.
33Billing provider infoCLIFTON, DANNY
LOUISVILLE, MS 39339
LOUISVILLE, MS 39339
33aNPI1134198328assigned 03/17/2006
33bProvider typeOptometrist
28Total paid$333K
24GClaims11,432
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#98 of 437
Median peer was paid$91K
This provider vs. median3.7×
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 | 2,406 | $84K | |
| 2019 | 2,212 | $79K | |
| 2020 | 1,396 | $45K | |
| 2021 | 1,382 | $33K | |
| 2022 | 1,814 | $42K | |
| 2023 | 1,632 | $35K | |
| 2024incomplete | 590 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 34% | 2,940 | 2,325 | $113K |
| 92015 | Determination of refractive state | 23% | 2,850 | 2,543 | $75K |
| V2020 | Frames, purchases | 15% | 1,745 | 1,547 | $50K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.7% | 379 | 360 | $29K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.5% | 1,994 | 1,787 | $28K |
| 92002 | 3.3% | 238 | 185 | $11K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 114 | 103 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 412 | 341 | $9K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 575 | 497 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 43 | 43 | $1K |
| 92341 | <1% | 87 | 82 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | 25 | $984.71 |
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.