Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Butner, James

Butner, James was paid $119K by Medicaid between Jan 2018 and Feb 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.

33Billing provider infoBUTNER, JAMES
VINITA, OK 74301
33aNPI1376523639assigned 01/20/2006
33bProvider typeOptometrist
28Total paid$119K
24GClaims4,187
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Optometrist providers in Oklahoma

Rank by total paid#165 of 336
Median peer was paid$113K
This provider vs. median1.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018881$23K
2019988$30K
2020675$21K
2021644$17K
2022599$15K
2023388$13K
2024incomplete12$254.20
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28% 367 367 $33K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 20% 206 206 $24K
92340 Fitting of spectacles, except for aphakia; monofocal 18% 694 694 $21K
92015 Determination of refractive state 11% 716 716 $13K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 10% 479 478 $12K
V2020 Frames, purchases 6.2% 729 729 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.5% 107 107 $4K
92250 2.0% 142 142 $2K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.3% 16 16 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 0% 731 731 $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.