Foley, James
Foley, James was paid $3K by Medicaid between Oct 2020 and Oct 2020, across 2 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 66% of everything it billed.
33Billing provider infoFOLEY, JAMES
SAINT CLAIR, PA 17970
SAINT CLAIR, PA 17970
33aNPI1295816601assigned 10/19/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims65
24DCodes billed2
24AFirst – last monthOct 2020 – Oct 2020
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#746 of 983
Median peer was paid$20K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 65 | $3K |
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 | 66% | 43 | 23 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 34% | 22 | 12 | $880.00 |
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.