Plothow, Phillip
Plothow, Phillip was paid $49K by Medicaid between Feb 2018 and Oct 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 77% of everything it billed.
33Billing provider infoPLOTHOW, PHILLIP
PROVO, UT 84604
PROVO, UT 84604
33aNPI1235110149assigned 11/08/2005
33bProvider typeOptometrist
28Total paid$49K
24GClaims1,239
24DCodes billed6
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Utah
Rank by total paid#33 of 130
Median peer was paid$6K
This provider vs. median8.4×
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 | 192 | $11K | |
| 2019 | 231 | $9K | |
| 2020 | 181 | $8K | |
| 2021 | 35 | $1K | |
| 2022 | 167 | $5K | |
| 2023 | 200 | $8K | |
| 2024incomplete | 233 | $7K |
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 | 77% | 589 | 478 | $38K |
| 92015 | Determination of refractive state | 10% | 436 | 402 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.2% | 30 | 30 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.0% | 106 | 83 | $3K |
| V2020 | Frames, purchases | <1% | 39 | 39 | $208.78 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 39 | 39 | $208.00 |
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.