Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Root, Monique

Root, Monique was paid $202K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.

33Billing provider infoROOT, MONIQUE
W DES MOINES, IA 50266
33aNPI1184623860assigned 07/15/2005
33bProvider typeOptometrist
28Total paid$202K
24GClaims5,757
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Iowa

Rank by total paid#58 of 521
Median peer was paid$28K
This provider vs. median7.2×

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$5.0K$10K2018201920202021202220232024
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
20181,776$59K
20191,708$57K
2020708$25K
2021572$23K
2022532$22K
2023319$13K
2024incomplete142$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36% 1,281 1,168 $72K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 27% 676 638 $55K
V2020 Frames, purchases 23% 2,087 1,957 $46K
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 3.8% 149 127 $8K
92133 3.1% 314 282 $6K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.7% 145 137 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 87 77 $3K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.5% 98 94 $3K
92083 <1% 83 72 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 49 38 $2K
V2303 Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens <1% 17 16 $701.44
V2756 Eye glass case <1% 666 638 $612.36
4 more codes
92020 <1% 34 $598.40
92134 <1% 15 $214.16
76514 <1% 14 $41.85
V2781 Progressive lens, per lens 0% 42 $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.