Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Holzer, Phillip

Holzer, Phillip was paid $22K by Medicaid between Apr 2019 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 45% of everything it billed.

33Billing provider infoHOLZER, PHILLIP
MOUNT VERNON, OH 43050
33aNPI1447239264assigned 01/11/2006
33bProvider typeOptometrist
28Total paid$22K
24GClaims1,893
24DCodes billed6
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#661 of 1,098
Median peer was paid$41K
This provider vs. median0.5×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201920$0.00
2020446$7K
2021447$7K
2022326$4K
2023352$2K
2024incomplete302$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 45% 235 233 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36% 263 260 $8K
V2020 Frames, purchases 12% 223 209 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3.7% 90 67 $813.76
92015 Determination of refractive state 1.3% 1,061 1,041 $274.57
92340 Fitting of spectacles, except for aphakia; monofocal 1.1% 21 18 $239.47

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.