Vandegrift, Sara
Vandegrift, Sara was paid $6K by Medicaid between Jan 2021 and Dec 2021, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.
33Billing provider infoVANDEGRIFT, SARA
DUBUQUE, IA 52002
DUBUQUE, IA 52002
33aNPI1457979197assigned 07/09/2020
33bProvider typeOptometrist
28Total paid$6K
24GClaims220
24DCodes billed2
24AFirst – last monthJan 2021 – Dec 2021
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#384 of 521
Median peer was paid$28K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 220 | $6K |
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 | 58% | 78 | 52 | $4K |
| 92015 | Determination of refractive state | 42% | 142 | 115 | $3K |
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.