Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Smalley, Scott

Smalley, Scott was paid $68K by Medicaid between Jan 2018 and Jun 2020, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.

33Billing provider infoSMALLEY, SCOTT
TROY, MO 63379
33aNPI1174534879assigned 08/10/2006
33bProvider typeOptometrist
28Total paid$68K
24GClaims3,913
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#124 of 547
Median peer was paid$19K
This provider vs. median3.6×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20182,158$32K
20191,433$30K
2020322$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27% 449 388 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 366 292 $14K
V2020 Frames, purchases 20% 851 705 $14K
V2784 Lens, polycarbonate or equal, any index, per lens 17% 659 552 $12K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6.5% 488 378 $4K
92015 Determination of refractive state 6.3% 994 839 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.4% 106 90 $925.26

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.