James D. Ferguson Od PC
James D. Ferguson Od PC was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is V2020, Frames, purchases — 21% of everything it billed.
33Billing provider infoJAMES D. FERGUSON OD PC
HIGHLAND, IN 46322
HIGHLAND, IN 46322
33aNPI1427358209assigned 10/27/2010
33bProvider typeOptometrist
28Total paid$1.46M
24GClaims39,593
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#40 of 743
Median peer was paid$22K
This provider vs. median67×
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 | 2,450 | $52K | |
| 2019 | 6,862 | $239K | |
| 2020 | 6,091 | $208K | |
| 2021 | 5,373 | $174K | |
| 2022 | 4,921 | $163K | |
| 2023 | 7,907 | $278K | |
| 2024incomplete | 5,989 | $345K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 21% | 8,896 | 8,596 | $309K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 20% | 5,215 | 5,078 | $298K |
| 92015 | Determination of refractive state | 10% | 10,920 | 10,628 | $150K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.5% | 3,176 | 3,096 | $138K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.2% | 1,208 | 1,168 | $120K |
| 92002 | 8.1% | 2,087 | 2,025 | $119K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.2% | 1,727 | 1,684 | $75K |
| 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 | 4.5% | 966 | 898 | $65K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 2,014 | 1,786 | $59K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.8% | 319 | 304 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 712 | 637 | $28K |
| V2755 | U-v lens, per lens | 1.6% | 1,660 | 1,641 | $23K |
8 more codes
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 255 | $17K |
| 92083 | <1% | 219 | $8K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 116 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 33 | $3K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | $1K |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 14 | $0.00 |
| 2022F | 0% | 15 | $0.00 | |
| 5010F | 0% | 15 | $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 officialSMITH, DEBRA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| James D. Ferguson Od PC | East Chicago, IN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.