Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nitchman, Todd

Nitchman, Todd was paid $286K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.

33Billing provider infoNITCHMAN, TODD
SAINT ROBERT, MO 65584
33aNPI1144235599assigned 07/31/2006
33bProvider typeOptometrist
28Total paid$286K
24GClaims6,920
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#36 of 547
Median peer was paid$19K
This provider vs. median15×

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$10K$15K2018201920202021202220232024
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
2018894$33K
2019890$35K
2020585$25K
2021684$31K
20221,441$64K
20231,220$59K
2024incomplete1,206$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 50% 2,544 2,373 $142K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 48% 2,742 2,681 $136K
92015 Determination of refractive state 2.9% 1,634 1,425 $8K

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.