Fenimore, Craig
Fenimore, Craig was paid $297K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoFENIMORE, CRAIG
RUSHVILLE, IN 46173
RUSHVILLE, IN 46173
33aNPI1326028796assigned 01/20/2006
33bProvider typeOptometrist
28Total paid$297K
24GClaims6,729
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#158 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
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 | 813 | $22K | |
| 2019 | 951 | $38K | |
| 2020 | 1,017 | $42K | |
| 2021 | 1,216 | $56K | |
| 2022 | 876 | $41K | |
| 2023 | 1,078 | $55K | |
| 2024incomplete | 778 | $43K |
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 | 41% | 1,421 | 1,289 | $122K |
| V2020 | Frames, purchases | 24% | 1,813 | 1,623 | $70K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 825 | 727 | $41K |
| 92015 | Determination of refractive state | 12% | 2,413 | 2,169 | $35K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10.0% | 257 | 239 | $30K |
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.