Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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West, Douglas

West, Douglas was paid $299K by Medicaid between Jan 2018 and Oct 2021, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 47% of everything it billed.

33Billing provider infoWEST, DOUGLAS
TERRE HAUTE, IN 47804
33aNPI1295774719assigned 06/06/2006
33bProvider typeOptometrist
28Total paid$299K
24GClaims7,135
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Optometrist providers in Indiana

Rank by total paid#156 of 743
Median peer was paid$22K
This provider vs. median14×

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$10K$20K2018201920202021202220232024
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
20182,089$65K
20191,888$91K
20201,666$79K
20211,492$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 47% 1,973 1,871 $141K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 37% 1,525 1,416 $110K
92015 Determination of refractive state 16% 3,588 3,359 $46K
V2020 Frames, purchases <1% 49 49 $999.75

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.