Ruggles, Patrick
Ruggles, Patrick was paid $100K by Medicaid between Jan 2018 and Jan 2022, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 61% of everything it billed.
33Billing provider infoRUGGLES, PATRICK
BAY CITY, MI 48706
BAY CITY, MI 48706
33aNPI1174666101assigned 02/15/2007
33bProvider typeOptometrist
28Total paid$100K
24GClaims2,971
24DCodes billed7
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#147 of 497
Median peer was paid$21K
This provider vs. median4.8×
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 | 592 | $23K | |
| 2019 | 910 | $39K | |
| 2020 | 536 | $14K | |
| 2021 | 857 | $23K | |
| 2022 | 76 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 61% | 870 | 864 | $61K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 1,263 | 1,249 | $23K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.1% | 94 | 94 | $6K |
| 92015 | Determination of refractive state | 5.4% | 539 | 538 | $5K |
| V2020 | Frames, purchases | 3.3% | 116 | 116 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 60 | 57 | $786.77 |
| 92341 | <1% | 29 | 29 | $607.38 |
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.