Demordaunt, Wade
Demordaunt, Wade was paid $3K by Medicaid between Aug 2018 and Oct 2022, across 1 billing code. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 100% of everything it billed.
33Billing provider infoDEMORDAUNT, WADE
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1275591711assigned 05/03/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$3K
24GClaims38
24DCodes billed1
24AFirst – last monthAug 2018 – Oct 2022
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 | 13 | $886.05 | |
| 2021 | 12 | $828.00 | |
| 2022 | 13 | $962.00 |
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 | 100% | 38 | 38 | $3K |
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.