Schaefer, James
Schaefer, James was paid $69K by Medicaid between Jan 2018 and Feb 2021, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoSCHAEFER, JAMES
CHILLICOTHE, OH 45601
CHILLICOTHE, OH 45601
33aNPI1366502056assigned 12/11/2006
33bProvider typeOptometrist
28Total paid$69K
24GClaims2,939
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#423 of 1,098
Median peer was paid$41K
This provider vs. median1.7×
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 | 1,016 | $26K | |
| 2019 | 881 | $22K | |
| 2020 | 869 | $18K | |
| 2021 | 173 | $4K |
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 | 40% | 684 | 674 | $28K |
| 92015 | Determination of refractive state | 16% | 1,079 | 1,062 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 223 | 221 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 458 | 449 | $10K |
| V2020 | Frames, purchases | 5.5% | 214 | 214 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.8% | 135 | 135 | $3K |
| 92341 | 4.0% | 115 | 113 | $3K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 12 | 12 | $452.40 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 19 | 19 | $247.00 |
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.