Prouet, Paul
Prouet, Paul was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoPROUET, PAUL
KENNER, LA 70062
KENNER, LA 70062
33aNPI1184686420assigned 04/03/2006
33bProvider typeOptometrist
28Total paid$1.35M
24GClaims45,982
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#35 of 442
Median peer was paid$199K
This provider vs. median6.8×
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 | 8,453 | $239K | |
| 2019 | 7,117 | $201K | |
| 2020 | 7,227 | $200K | |
| 2021 | 5,404 | $176K | |
| 2022 | 5,676 | $173K | |
| 2023 | 7,375 | $204K | |
| 2024incomplete | 4,730 | $158K |
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 | 34% | 7,046 | 6,232 | $462K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 17% | 6,245 | 5,699 | $229K |
| V2020 | Frames, purchases | 15% | 12,421 | 10,755 | $202K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 3,408 | 3,076 | $201K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.6% | 9,410 | 8,721 | $103K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 5.8% | 2,195 | 1,829 | $78K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.9% | 2,556 | 2,344 | $40K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 1,678 | 1,386 | $15K |
| V2025 | Deluxe frame | 1.1% | 398 | 191 | $15K |
| 92015 | Determination of refractive state | <1% | 189 | 181 | $2K |
| V2799 | Vision item or service, miscellaneous | <1% | 271 | 221 | $2K |
| 92202 | <1% | 110 | 96 | $24.06 |
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.