Sawyer, James
Sawyer, James was paid $593K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoSAWYER, JAMES
MONTICELLO, KY 42633
MONTICELLO, KY 42633
33aNPI1427066406assigned 08/04/2006
33bProvider typeOptometrist
28Total paid$593K
24GClaims19,428
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#69 of 683
Median peer was paid$123K
This provider vs. median4.8×
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 | 2,804 | $79K | |
| 2019 | 3,240 | $84K | |
| 2020 | 2,872 | $70K | |
| 2021 | 4,080 | $94K | |
| 2022 | 2,047 | $81K | |
| 2023 | 2,337 | $95K | |
| 2024incomplete | 2,048 | $89K |
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 | 33% | 3,507 | 3,116 | $196K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 2,199 | 1,948 | $173K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 2,509 | 2,338 | $104K |
| V2020 | Frames, purchases | 9.0% | 2,067 | 1,805 | $53K |
| 92015 | Determination of refractive state | 3.8% | 5,453 | 4,780 | $23K |
| 92341 | 2.6% | 284 | 258 | $15K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.0% | 714 | 653 | $12K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.3% | 1,139 | 1,048 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.1% | 440 | 400 | $7K |
| V2760 | Scratch resistant coating, per lens | <1% | 1,101 | 1,019 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 13 | $426.30 |
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.