Swain, Abigail
Swain, Abigail was paid $33K by Medicaid between Nov 2021 and Apr 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.
33Billing provider infoSWAIN, ABIGAIL
OREGON, OH 43616
OREGON, OH 43616
33aNPI1427626357assigned 06/16/2021
33bProvider typeOptometrist
28Total paid$33K
24GClaims2,219
24DCodes billed10
24AFirst – last monthNov 2021 – Apr 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#603 of 1,098
Median peer was paid$41K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 156 | $3K | |
| 2022 | 1,759 | $25K | |
| 2023 | 199 | $2K | |
| 2024incomplete | 105 | $2K |
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 | 37% | 268 | 268 | $12K |
| 92015 | Determination of refractive state | 23% | 383 | 383 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 346 | 344 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.5% | 56 | 56 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 23 | 20 | $978.24 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.8% | 36 | 36 | $576.00 |
| V2020 | Frames, purchases | 1.6% | 419 | 417 | $520.00 |
| 92341 | 1.2% | 14 | 14 | $377.58 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 437 | 434 | $150.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 237 | 235 | $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.