Lamar, James
Lamar, James was paid $1.08M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.
33Billing provider infoLAMAR, JAMES
NEW ORLEANS, LA 70121
NEW ORLEANS, LA 70121
33aNPI1346654126assigned 06/19/2014
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$1.08M
24GClaims44,660
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Louisiana
Rank by total paid#3 of 43
Median peer was paid$6K
This provider vs. median168×
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 | 8,452 | $238K | |
| 2019 | 9,288 | $216K | |
| 2020 | 5,833 | $143K | |
| 2021 | 6,607 | $161K | |
| 2022 | 6,483 | $160K | |
| 2023 | 4,217 | $93K | |
| 2024incomplete | 3,780 | $66K |
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 | 46% | 6,909 | 6,479 | $500K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 1,864 | 1,784 | $171K |
| V2020 | Frames, purchases | 12% | 9,284 | 8,625 | $129K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.0% | 6,220 | 5,792 | $97K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.8% | 7,215 | 6,824 | $95K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.6% | 2,054 | 1,934 | $28K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.7% | 1,706 | 1,491 | $18K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 227 | 193 | $10K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 738 | 685 | $10K |
| 92250 | <1% | 249 | 224 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 109 | 91 | $5K |
| 92083 | <1% | 62 | 53 | $2K |
4 more codes
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 138 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 17 | $749.98 |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 18 | $687.72 |
| 92015 | Determination of refractive state | 0% | 7,850 | $0.00 |
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.