Fisher, Gary
Fisher, Gary was paid $171K by Medicaid between Jan 2018 and Sep 2023, across 19 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 38% of everything it billed.
33Billing provider infoFISHER, GARY
MONTICELLO, IA 52310
MONTICELLO, IA 52310
33aNPI1437131364assigned 11/16/2005
33bProvider typeOptometrist
28Total paid$171K
24GClaims6,671
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#67 of 521
Median peer was paid$28K
This provider vs. median6.1×
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 | 3,565 | $84K | |
| 2019 | 2,605 | $75K | |
| 2020 | 462 | $13K | |
| 2023 | 39 | $15.05 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 38% | 812 | 783 | $65K |
| V2020 | Frames, purchases | 18% | 1,253 | 1,203 | $31K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.6% | 516 | 499 | $13K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.4% | 432 | 422 | $11K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 5.5% | 121 | 120 | $9K |
| 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 | 5.5% | 180 | 146 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.1% | 148 | 147 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.1% | 101 | 101 | $7K |
| 92250 | 3.3% | 123 | 118 | $6K | |
| 92083 | 2.5% | 167 | 161 | $4K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.5% | 750 | 721 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.3% | 26 | 24 | $2K |
7 more codes
| V2756 | Eye glass case | <1% | 1,163 | $1K |
| 92002 | <1% | 15 | $788.54 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 19 | $554.10 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 14 | $517.16 |
| 92081 | <1% | 281 | $469.70 | |
| 92015 | Determination of refractive state | <1% | 510 | $60.20 |
| 92285 | 0% | 40 | $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.