Graham, Philip
Graham, Philip was paid $59K by Medicaid between Jan 2018 and Mar 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.
33Billing provider infoGRAHAM, PHILIP
PONTOTOC, MS 38863
PONTOTOC, MS 38863
33aNPI1164572848assigned 01/12/2007
33bProvider typeOptometrist
28Total paid$59K
24GClaims2,484
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#264 of 437
Median peer was paid$91K
This provider vs. median0.6×
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 | 746 | $22K | |
| 2019 | 593 | $17K | |
| 2020 | 381 | $8K | |
| 2021 | 293 | $5K | |
| 2022 | 305 | $5K | |
| 2023 | 135 | $1K | |
| 2024incomplete | 31 | $260.00 |
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 | 52% | 581 | 557 | $31K |
| 92015 | Determination of refractive state | 18% | 1,486 | 1,323 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 139 | 137 | $9K |
| V2020 | Frames, purchases | 6.0% | 118 | 109 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.7% | 67 | 56 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.2% | 81 | 81 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $255.60 |
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.