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

Hallforth, Daniel was paid $18K by Medicaid between Jan 2018 and Jan 2021, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 57% of everything it billed.

33Billing provider infoHALLFORTH, DANIEL
FLORENCE, KY 41042
33aNPI1265585012assigned 01/18/2007
33bProvider typeOptometrist
28Total paid$18K
24GClaims726
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#545 of 683
Median peer was paid$123K
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$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
2018223$9K
2019374$6K
2020111$2K
202118$45.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 57% 184 148 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 24% 103 76 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 10% 42 26 $2K
92015 Determination of refractive state 8.0% 397 301 $1K

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.