Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hayes, Robert

Hayes, Robert was paid $46K by Medicaid between Jan 2018 and Apr 2023, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 60% of everything it billed.

33Billing provider infoHAYES, ROBERT
CHELSEA, AL 35043
33aNPI1467431890assigned 01/13/2006
33bProvider typeOptometrist
28Total paid$46K
24GClaims2,245
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers

Next to other Optometrist providers in Alabama

Rank by total paid#185 of 346
Median peer was paid$59K
This provider vs. median0.8×

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
2018584$11K
2019618$13K
2020472$10K
2021205$4K
2022218$5K
2023148$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 60% 562 493 $28K
92340 Fitting of spectacles, except for aphakia; monofocal 19% 591 515 $9K
92015 Determination of refractive state 17% 1,061 926 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.1% 31 28 $2K

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.