Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hammersmith, John

Hammersmith, John was paid $81K by Medicaid between Nov 2020 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 47% of everything it billed.

33Billing provider infoHAMMERSMITH, JOHN
WILLIAMSVILLE, NY 14221
33aNPI1245231067assigned 08/02/2005
33bProvider typeOptometrist
28Total paid$81K
24GClaims2,105
24DCodes billed7
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#585 of 1,605
Median peer was paid$29K
This provider vs. median2.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
202024$713.61
202158$1K
2022375$16K
2023806$29K
2024incomplete842$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 47% 565 559 $38K
V2020 Frames, purchases 25% 638 633 $21K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20% 266 265 $17K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6.0% 305 303 $5K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 97 97 $578.00
92015 Determination of refractive state <1% 220 220 $456.00
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) <1% 14 14 $282.60

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.