Johnson, Gary
Johnson, Gary was paid $2K by Medicaid between Mar 2018 and Sep 2019, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.
33Billing provider infoJOHNSON, GARY
FARGO, ND 58103
FARGO, ND 58103
33aNPI1275551848assigned 07/18/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$2K
24GClaims203
24DCodes billed3
24AFirst – last monthMar 2018 – Sep 2019
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 | 101 | $1K | |
| 2019 | 102 | $274.38 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 56% | 43 | 42 | $924.54 |
| 92015 | Determination of refractive state | 44% | 133 | 129 | $733.44 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 27 | 27 | $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.