Swales, Richard
Swales, Richard was paid $51K by Medicaid between Aug 2018 and Jul 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoSWALES, RICHARD
LAWTON, OK 73505
LAWTON, OK 73505
33aNPI1447248646assigned 10/11/2005
33bProvider typeOptometrist
28Total paid$51K
24GClaims1,364
24DCodes billed7
24AFirst – last monthAug 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in Oklahoma
Rank by total paid#212 of 336
Median peer was paid$113K
This provider vs. median0.4×
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 | 164 | $6K | |
| 2019 | 178 | $8K | |
| 2020 | 126 | $4K | |
| 2021 | 311 | $12K | |
| 2022 | 276 | $10K | |
| 2023 | 240 | $9K | |
| 2024incomplete | 69 | $3K |
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 | 35% | 139 | 139 | $18K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 149 | 149 | $16K |
| 92015 | Determination of refractive state | 14% | 403 | 400 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 206 | 206 | $6K |
| V2020 | Frames, purchases | 5.0% | 251 | 249 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 27 | 27 | $753.30 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 189 | 189 | $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.