Radow, Brett

Radow, Brett was paid $417K by Medicaid between Jan 2018 and Feb 2023, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.

33Billing provider infoRADOW, BRETT
SPENCER, WV 25276

33aNPI1154315992assigned 09/08/2005

33bProvider typeOptometrist

28Total paid$417K

24GClaims9,728

24DCodes billed16

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Optometrist providers in West Virginia

Rank by total paid#18 of 115

Median peer was paid$82K

This provider vs. median5.1×

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	2,091	$89K
2019	1,212	$39K
2020	1,928	$98K
2021	2,052	$94K
2022	2,134	$83K
2023	311	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	26%	1,426	1,347	$107K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	21%	1,045	997	$88K
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	16%	1,256	1,114	$66K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	1,026	913	$47K
92015	Determination of refractive state	9.5%	2,923	2,780	$40K
V2020	Frames, purchases	8.9%	651	628	$37K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3.9%	438	405	$16K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	3.4%	437	437	$14K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	79	62	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	261	261	$366.17
92250		<1%	12	12	$250.84
5010F		<1%	12	12	$17.92

4 more codes

1036F		<1%	98	$17.92
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	<1%	13	$17.92
4004F		0%	13	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	38	$0.00

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.