Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Carlson, John

Carlson, John was paid $100K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 50% of everything it billed.

33Billing provider infoCARLSON, JOHN
HERNANDO, MS 38632
33aNPI1467542241assigned 10/13/2006
33bProvider typeOptometrist
28Total paid$100K
24GClaims4,513
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Mississippi

Rank by total paid#211 of 437
Median peer was paid$91K
This provider vs. median1.1×

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
2018946$21K
20191,108$20K
2020728$17K
2021599$15K
2022461$10K
2023356$8K
2024incomplete315$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 50% 862 789 $50K
92340 Fitting of spectacles, except for aphakia; monofocal 32% 1,952 1,800 $32K
92015 Determination of refractive state 8.0% 1,359 1,238 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6.1% 116 104 $6K
V2020 Frames, purchases 2.2% 158 149 $2K
92002 <1% 13 13 $814.86
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 40 40 $286.54
3072F 0% 13 13 $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.