Johansen, Samuel
Johansen, Samuel was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoJOHANSEN, SAMUEL
GREENWOOD, SC 29646
GREENWOOD, SC 29646
33aNPI1497136139assigned 06/17/2015
33bProvider typeOptometrist
28Total paid$137K
24GClaims6,803
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#98 of 425
Median peer was paid$22K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2018 | 266 | $8K | |
| 2019 | 255 | $9K | |
| 2020 | 220 | $5K | |
| 2021 | 229 | $6K | |
| 2022 | 1,143 | $25K | |
| 2023 | 2,581 | $47K | |
| 2024incomplete | 2,109 | $37K |
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 | 30% | 724 | 717 | $41K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 517 | 507 | $28K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 1,070 | 1,049 | $21K |
| 92015 | Determination of refractive state | 14% | 1,708 | 1,689 | $20K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.3% | 736 | 725 | $10K |
| V2020 | Frames, purchases | 6.6% | 918 | 896 | $9K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.6% | 882 | 859 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.8% | 44 | 42 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 119 | 98 | $1K |
| 92285 | <1% | 59 | 54 | $807.12 | |
| 92370 | <1% | 14 | 12 | $294.98 | |
| 92081 | <1% | 12 | 12 | $251.33 |
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.