Henriksen, Bradley

Henriksen, Bradley was paid $27K by Medicaid between Sep 2020 and Mar 2021, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 73% of everything it billed.

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
2020	303	$16K
2021	209	$11K

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	73%	173	173	$20K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	9.2%	26	26	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	8.3%	30	30	$2K
92015	Determination of refractive state	6.4%	218	217	$2K
92060		2.7%	65	64	$731.94

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.