Koon, Charles
Koon, Charles was paid $67K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 44% of everything it billed.
33Billing provider infoKOON, CHARLES
PIQUA, OH 45356
PIQUA, OH 45356
33aNPI1437290590assigned 02/10/2007
33bProvider typeOptometrist
28Total paid$67K
24GClaims2,187
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#437 of 1,098
Median peer was paid$41K
This provider vs. median1.6×
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 | 645 | $13K | |
| 2020 | 334 | $11K | |
| 2021 | 380 | $16K | |
| 2022 | 294 | $13K | |
| 2023 | 333 | $8K | |
| 2024incomplete | 201 | $5K |
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 | 44% | 782 | 774 | $29K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 35% | 661 | 645 | $23K |
| 92015 | Determination of refractive state | 6.7% | 266 | 263 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 68 | 68 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.5% | 108 | 108 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 36 | 36 | $2K |
| V2020 | Frames, purchases | 2.1% | 139 | 139 | $1K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1.7% | 127 | 127 | $1K |
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.