Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gorz, John

Gorz, John was paid $10K by Medicaid between Jul 2020 and Mar 2022, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 31% of everything it billed.

33Billing provider infoGORZ, JOHN
ALGOMA, WI 54201
33aNPI1295710515assigned 12/09/2005
33bProvider typeOptometrist
28Total paid$10K
24GClaims428
24DCodes billed4
24AFirst – last monthJul 2020 – Mar 2022
Compared with peers

Next to other Optometrist providers in Wisconsin

Rank by total paid#187 of 412
Median peer was paid$7K
This provider vs. median1.5×

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
2020223$5K
2021150$3K
202255$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 31% 250 227 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28% 48 44 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 27% 102 87 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 28 26 $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.