Gillam, Duane
Gillam, Duane was paid $152K by Medicaid between Mar 2018 and Oct 2022, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.
33Billing provider infoGILLAM, DUANE
LAFAYETTE, IN 47904
LAFAYETTE, IN 47904
33aNPI1447281761assigned 07/05/2006
33bProvider typeOptometrist
28Total paid$152K
24GClaims4,141
24DCodes billed9
24AFirst – last monthMar 2018 – Oct 2022
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#219 of 743
Median peer was paid$22K
This provider vs. median7.0×
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 | 113 | $1K | |
| 2019 | 970 | $32K | |
| 2020 | 1,095 | $42K | |
| 2021 | 1,228 | $48K | |
| 2022 | 735 | $29K |
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 | 32% | 615 | 545 | $48K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26% | 387 | 360 | $40K |
| V2020 | Frames, purchases | 21% | 1,037 | 917 | $32K |
| 92015 | Determination of refractive state | 11% | 1,367 | 1,222 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.8% | 247 | 168 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.7% | 168 | 161 | $4K |
| V2755 | U-v lens, per lens | 2.2% | 244 | 216 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 19 | 14 | $324.14 |
| V2760 | Scratch resistant coating, per lens | <1% | 57 | 46 | $184.92 |
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.