Doyle, James
Doyle, James was paid $2K by Medicaid between Mar 2018 and May 2018, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 70% of everything it billed.
33Billing provider infoDOYLE, JAMES
PORT WASHINGTON, WI 53074
PORT WASHINGTON, WI 53074
33aNPI1407233430assigned 04/28/2015
33bProvider typeOptician
28Total paid$2K
24GClaims79
24DCodes billed3
24AFirst – last monthMar 2018 – May 2018
Compared with peers
Next to other Optician providers in Wisconsin
Rank by total paid#29 of 40
Median peer was paid$8K
This provider vs. median0.2×
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 | 79 | $2K |
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 | 70% | 33 | 33 | $1K |
| 92015 | Determination of refractive state | 16% | 33 | 33 | $329.01 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 13 | 13 | $284.05 |
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.