Douglas Duggan
Douglas Duggan was paid $196K by Medicaid between Oct 2018 and Dec 2022, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.
33Billing provider infoDOUGLAS DUGGAN
SUNNYSIDE, WA 98944
SUNNYSIDE, WA 98944
33aNPI1437604964assigned 08/25/2016
33bProvider typeOptometrist
28Total paid$196K
24GClaims5,318
24DCodes billed7
24AFirst – last monthOct 2018 – Dec 2022
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#90 of 565
Median peer was paid$23K
This provider vs. median8.4×
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 | 184 | $7K | |
| 2019 | 906 | $34K | |
| 2020 | 688 | $26K | |
| 2021 | 1,939 | $75K | |
| 2022 | 1,601 | $54K |
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 | 48% | 1,405 | 1,401 | $95K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 34% | 889 | 883 | $66K |
| 92015 | Determination of refractive state | 10% | 2,292 | 2,282 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.7% | 539 | 536 | $11K |
| V2020 | Frames, purchases | 1.2% | 126 | 126 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 54 | 54 | $1K |
| 92250 | <1% | 13 | 13 | $354.25 |
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 officialDUGGAN, DOUGLAS (OPTOMETRIST)