Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Freshwater, James

Freshwater, James was paid $3K by Medicaid between Sep 2020 and Jul 2022, across 3 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 89% of everything it billed.

33Billing provider infoFRESHWATER, JAMES
CLEMMONS, NC 27012
33aNPI1255499737assigned 12/05/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims77
24DCodes billed3
24AFirst – last monthSep 2020 – Jul 2022
Compared with peers

Next to other Optometrist providers in North Carolina

Rank by total paid#518 of 636
Median peer was paid$41K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
202013$762.33
202136$2K
202228$367.52
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 89% 49 45 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 9.0% 14 14 $292.32
92370 2.3% 14 14 $75.20

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.