Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Williams, Philip

Williams, Philip was paid $52K by Medicaid between Jan 2018 and Aug 2023, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.

33Billing provider infoWILLIAMS, PHILIP
ARLINGTON, WA 98223
33aNPI1467459511assigned 07/05/2005
33bProvider typeOptometrist
28Total paid$52K
24GClaims1,716
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#203 of 565
Median peer was paid$23K
This provider vs. median2.2×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018231$6K
2019209$5K
2020153$2K
2021665$24K
2022415$14K
202343$424.63
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 53% 300 282 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 166 166 $12K
92015 Determination of refractive state 15% 1,024 989 $8K
V2020 Frames, purchases 7.2% 188 182 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.8% 38 38 $945.44

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.