Alton, Paul
Alton, Paul was paid $18K by Medicaid between Jan 2018 and Nov 2019, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 40% of everything it billed.
33Billing provider infoALTON, PAUL
LORAIN, OH 44053
LORAIN, OH 44053
33aNPI1164401113assigned 01/10/2006
33bProvider typeOptometrist
28Total paid$18K
24GClaims699
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#699 of 1,098
Median peer was paid$41K
This provider vs. median0.4×
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
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 | 362 | $9K | |
| 2019 | 337 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 40% | 356 | 353 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 32% | 124 | 122 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 147 | 147 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.8% | 29 | 29 | $870.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.5% | 14 | 14 | $631.26 |
| V2020 | Frames, purchases | 2.9% | 29 | 29 | $522.00 |
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.