1295777696

1295777696 was paid $1.48M by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.

33Billing provider info1295777696

33aNPI1295777696

33bProvider type—

28Total paid$1.48M

24GClaims42,645

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

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	7,524	$261K
2019	6,414	$227K
2020	4,813	$167K
2021	5,513	$187K
2022	7,047	$243K
2023	6,464	$226K
2024incomplete	4,870	$170K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	29%	6,238	6,216	$426K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	28%	5,302	5,269	$415K
92340	Fitting of spectacles, except for aphakia; monofocal	12%	10,241	10,189	$176K
92015	Determination of refractive state	11%	12,702	12,629	$165K
V2020	Frames, purchases	9.6%	2,859	2,835	$143K
V2199	Not otherwise classified, single vision lens	6.2%	2,291	2,272	$92K
V2784	Lens, polycarbonate or equal, any index, per lens	4.0%	2,855	2,837	$60K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	31	30	$2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	97	97	$995.50
92250		<1%	29	28	$750.98

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.