Physician
Hamilton, Ralph
Hamilton, Ralph was paid $35K by Medicaid between Jan 2018 and Dec 2023, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoHAMILTON, RALPH
COLUMBIA, TN 38401
COLUMBIA, TN 38401
33aNPI1184663858assigned 06/06/2006
33bProvider typeOphthalmology Physician
28Total paid$35K
24GClaims2,230
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Ophthalmology Physician providers in Tennessee
Rank by total paid#45 of 114
Median peer was paid$15K
This provider vs. median2.4×
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 | 445 | $8K | |
| 2019 | 414 | $9K | |
| 2020 | 212 | $4K | |
| 2021 | 408 | $5K | |
| 2022 | 331 | $5K | |
| 2023 | 420 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 85% | 1,590 | 1,203 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 176 | 127 | $2K |
| 92134 | 5.4% | 262 | 187 | $2K | |
| 92015 | Determination of refractive state | 2.6% | 202 | 151 | $916.09 |
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.