Roy, Joseph
Roy, Joseph was paid $76K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.
33Billing provider infoROY, JOSEPH
DERIDDER, LA 70634
DERIDDER, LA 70634
33aNPI1356364046assigned 07/25/2006
33bProvider typeOptometrist
28Total paid$76K
24GClaims2,806
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#292 of 442
Median peer was paid$199K
This provider vs. median0.4×
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 | 431 | $12K | |
| 2019 | 267 | $4K | |
| 2020 | 722 | $18K | |
| 2021 | 330 | $8K | |
| 2022 | 198 | $4K | |
| 2023 | 443 | $17K | |
| 2024incomplete | 415 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 50% | 451 | 414 | $38K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 283 | 269 | $19K |
| V2020 | Frames, purchases | 15% | 642 | 603 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.2% | 172 | 164 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.3% | 219 | 205 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.3% | 125 | 119 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 14 | 14 | $173.04 |
| 92015 | Determination of refractive state | 0% | 871 | 828 | $0.00 |
| 99072 | 0% | 29 | 27 | $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.