Bowers, Paul
Bowers, Paul was paid $116K by Medicaid between Oct 2020 and Jan 2023, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 64% of everything it billed.
33Billing provider infoBOWERS, PAUL
HARBORCREEK, PA 16421
HARBORCREEK, PA 16421
33aNPI1356443113assigned 09/02/2006
33bProvider typeOptometrist
28Total paid$116K
24GClaims2,706
24DCodes billed5
24AFirst – last monthOct 2020 – Jan 2023
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#216 of 983
Median peer was paid$20K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2020 | 268 | $11K | |
| 2021 | 1,215 | $52K | |
| 2022 | 1,132 | $49K | |
| 2023 | 91 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 64% | 1,659 | 1,657 | $75K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 528 | 522 | $21K |
| 92310 | 9.5% | 316 | 316 | $11K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 7.3% | 188 | 188 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | 15 | $600.00 |
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.