Bales, Erin
Bales, Erin was paid $22K by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoBALES, ERIN
INDEPENDENCE, MO 64055
INDEPENDENCE, MO 64055
33aNPI1275985806assigned 07/07/2016
33bProvider typeOptometrist
28Total paid$22K
24GClaims1,273
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#263 of 547
Median peer was paid$19K
This provider vs. median1.1×
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
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 | 616 | $10K | |
| 2019 | 563 | $9K | |
| 2020 | 94 | $2K |
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 | 53% | 241 | 230 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 100 | 100 | $5K |
| 92015 | Determination of refractive state | 13% | 578 | 547 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 354 | 344 | $2K |
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.