Partain, Carl
Partain, Carl was paid $20K by Medicaid between Mar 2018 and May 2024, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoPARTAIN, CARL
LEXINGTON, VA 24450
LEXINGTON, VA 24450
33aNPI1205869450assigned 07/09/2006
33bProvider typeOptometrist
28Total paid$20K
24GClaims467
24DCodes billed2
24AFirst – last monthMar 2018 – May 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#255 of 491
Median peer was paid$23K
This provider vs. median0.9×
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 | 26 | $1K | |
| 2019 | 95 | $4K | |
| 2020 | 48 | $2K | |
| 2021 | 112 | $5K | |
| 2022 | 61 | $3K | |
| 2023 | 83 | $4K | |
| 2024incomplete | 42 | $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 | 53% | 228 | 221 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 47% | 239 | 232 | $10K |
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.