Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Poole, Raymond

Poole, Raymond was paid $5K by Medicaid between Nov 2020 and Jan 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.

33Billing provider infoPOOLE, RAYMOND
GAFFNEY, SC 29341
33aNPI1275552572assigned 07/18/2006
33bProvider typeOptometrist
28Total paid$5K
24GClaims252
24DCodes billed3
24AFirst – last monthNov 2020 – Jan 2024
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#280 of 425
Median peer was paid$22K
This provider vs. median0.2×

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$1.0K$2.0K2018201920202021202220232024
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
202013$121.74
2022165$4K
202340$369.48
2024incomplete34$969.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 58% 63 63 $3K
92015 Determination of refractive state 30% 176 176 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 13 13 $624.00

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.