Palm, Toby
Palm, Toby was paid $188K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.
33Billing provider infoPALM, TOBY
SUTHERLIN, OR 97479
SUTHERLIN, OR 97479
33aNPI1366430936assigned 10/07/2005
33bProvider typeOptometrist
28Total paid$188K
24GClaims4,270
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Oregon
Rank by total paid#55 of 215
Median peer was paid$33K
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 | |
|---|---|---|---|
| 2018 | 553 | $16K | |
| 2019 | 691 | $23K | |
| 2020 | 298 | $6K | |
| 2021 | 542 | $19K | |
| 2022 | 749 | $36K | |
| 2023 | 713 | $45K | |
| 2024incomplete | 724 | $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 | 39% | 897 | 885 | $73K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 29% | 873 | 850 | $54K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 474 | 458 | $46K |
| 92015 | Determination of refractive state | 8.4% | 2,026 | 1,987 | $16K |
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.