Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Koenig, Daniel

Koenig, Daniel was paid $36K by Medicaid between Jan 2018 and Apr 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 57% of everything it billed.

33Billing provider infoKOENIG, DANIEL
AMES, IA 50010
33aNPI1235129917assigned 10/25/2005
33bProvider typeOptometrist
28Total paid$36K
24GClaims1,009
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Optometrist providers in Iowa

Rank by total paid#230 of 521
Median peer was paid$28K
This provider vs. median1.3×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018454$17K
2019229$9K
2020141$2K
2021101$4K
202240$2K
202331$2K
2024incomplete13$300.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 57% 391 381 $21K
V2020 Frames, purchases 22% 325 302 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 84 83 $7K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 13 13 $280.72
V2756 Eye glass case <1% 108 102 $115.56
92015 Determination of refractive state 0% 88 83 $0.00

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.