Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Reginald D. Barnes JR MD PC

Reginald D. Barnes JR MD PC was paid $135K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoREGINALD D. BARNES JR MD PC
WASHINGTON, DC 20037
33aNPI1386960326assigned 04/15/2010
33bProvider typeOphthalmology Physician
28Total paid$135K
24GClaims2,867
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Ophthalmology Physician providers in District of Columbia

Rank by total paid#10 of 29
Median peer was paid$71K
This provider vs. median1.9×

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$5.0K$10K$15K2018201920202021202220232024
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
2018212$0.00
201941$0.00
20201,223$68K
2021427$15K
2022359$16K
2023499$30K
2024incomplete106$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 1,050 1,008 $49K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24% 400 393 $33K
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 15% 319 294 $20K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6.1% 194 190 $8K
92002 5.0% 163 163 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4.2% 133 133 $6K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 4.1% 49 49 $6K
92340 Fitting of spectacles, except for aphakia; monofocal 2.0% 124 121 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.3% 85 84 $2K
76519 <1% 48 45 $1K
92341 <1% 32 30 $604.87
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 12 $547.60
5 more codes
92015 Determination of refractive state <1% 148 $448.95
92136 <1% 12 $385.10
99308 Subsequent nursing facility care, per day, straightforward 0% 68 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 15 $0.00
V2020 Frames, purchases 0% 14 $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.

From NPPES

Who's on the registration

Authorized officialBARNES, REGINALD (PRESIDENT)