Baumgartner, Anthony
Baumgartner, Anthony was paid $238K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 64% of everything it billed.
33Billing provider infoBAUMGARTNER, ANTHONY
BUTTE, MT 59701
BUTTE, MT 59701
33aNPI1215014535assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$238K
24GClaims5,406
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#37 of 113
Median peer was paid$95K
This provider vs. median2.5×
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 | 970 | $43K | |
| 2019 | 906 | $42K | |
| 2020 | 811 | $37K | |
| 2021 | 688 | $31K | |
| 2022 | 819 | $34K | |
| 2023 | 678 | $28K | |
| 2024incomplete | 534 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 64% | 1,689 | 1,592 | $152K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 1,327 | 1,258 | $35K |
| 92015 | Determination of refractive state | 14% | 2,222 | 2,091 | $32K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.5% | 168 | 158 | $18K |
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.