Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Phillips, Cathy

Phillips, Cathy was paid $53K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.

33Billing provider infoPHILLIPS, CATHY
PACIFIC, MO 63069
33aNPI1326016601assigned 03/10/2006
33bProvider typeOptometrist
28Total paid$53K
24GClaims3,161
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#149 of 547
Median peer was paid$19K
This provider vs. median2.8×

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$2.0K$4.0K2018201920202021202220232024
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
20181,784$26K
20191,106$21K
2020271$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 39% 473 415 $21K
V2020 Frames, purchases 23% 718 612 $12K
V2784 Lens, polycarbonate or equal, any index, per lens 14% 476 413 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.8% 138 108 $5K
92015 Determination of refractive state 7.2% 861 746 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6.4% 451 381 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 44 42 $422.77

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.