DR. James D. Egbert, Optometrist, INC.
DR. James D. Egbert, Optometrist, INC. was paid $45K by Medicaid between Jan 2018 and Jan 2020, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 32% of everything it billed.
33Billing provider infoDR. JAMES D. EGBERT, OPTOMETRIST, INC.
MIAMISBURG, OH 45342
MIAMISBURG, OH 45342
33aNPI1306962980assigned 03/22/2007
33bProvider typeOptometrist
28Total paid$45K
24GClaims2,060
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#531 of 1,098
Median peer was paid$41K
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 | 1,186 | $27K | |
| 2019 | 820 | $16K | |
| 2020 | 54 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 32% | 695 | 683 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 281 | 273 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 413 | 406 | $9K |
| V2020 | Frames, purchases | 16% | 605 | 593 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.4% | 53 | 53 | $2K |
| 92250 | <1% | 13 | 13 | $425.75 |
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.
From NPPES
Who's on the registration
Authorized officialYEAZEL, JANET (INSURANCE COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| DR. James D. Egbert, Optometrist, INC. | Huber Heights, OH | $132K |
| DR. James D. Egbert, Optometrist, INC. | Beavercreek, OH | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.