Hall, John
Hall, John was paid $25K by Medicaid between Jan 2018 and Feb 2020, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.
33Billing provider infoHALL, JOHN
ELKHORN, WI 53121
ELKHORN, WI 53121
33aNPI1376575423assigned 07/07/2006
33bProvider typeOptometrist
28Total paid$25K
24GClaims1,251
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#148 of 412
Median peer was paid$7K
This provider vs. median3.8×
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 | 804 | $18K | |
| 2019 | 410 | $7K | |
| 2020 | 37 | $329.01 |
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 | 46% | 268 | 262 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 281 | 275 | $6K |
| 92015 | Determination of refractive state | 22% | 637 | 609 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.8% | 37 | 37 | $1K |
| 92341 | 2.8% | 28 | 26 | $716.50 |
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.