Supplier
James W. Herman, Od
James W. Herman, Od was paid $188K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is V2020, Frames, purchases — 32% of everything it billed.
33Billing provider infoJAMES W. HERMAN, OD
HURRICANE, WV 25526
HURRICANE, WV 25526
33aNPI1326218306assigned 03/06/2008
33bProvider typeEyewear Supplier
28Total paid$188K
24GClaims4,274
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in West Virginia
Rank by total paid#3 of 14
Median peer was paid$42K
This provider vs. median4.4×
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 | 728 | $38K | |
| 2019 | 148 | $3K | |
| 2020 | 453 | $19K | |
| 2021 | 508 | $19K | |
| 2022 | 927 | $41K | |
| 2023 | 892 | $39K | |
| 2024incomplete | 618 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 32% | 890 | 872 | $61K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 582 | 551 | $44K |
| 92015 | Determination of refractive state | 14% | 1,481 | 1,417 | $26K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 11% | 735 | 731 | $21K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 215 | 213 | $21K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.8% | 371 | 370 | $15K |
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 officialHERMAN, JAMES (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| Mid-Michigan Oncology Radiation Associates PC | Lansing, MI | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.