Cox, Douglas
Cox, Douglas was paid $30K by Medicaid between Jun 2020 and Nov 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 62% of everything it billed.
33Billing provider infoCOX, DOUGLAS
BRECKSVILLE, OH 44141
BRECKSVILLE, OH 44141
33aNPI1497712004assigned 04/27/2006
33bProvider typeOptometrist
28Total paid$30K
24GClaims2,171
24DCodes billed10
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#615 of 1,098
Median peer was paid$41K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 243 | $2K | |
| 2021 | 424 | $7K | |
| 2022 | 448 | $8K | |
| 2023 | 411 | $5K | |
| 2024incomplete | 645 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 62% | 525 | 520 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 155 | 155 | $6K |
| V2020 | Frames, purchases | 6.6% | 104 | 103 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.9% | 74 | 72 | $2K |
| 92015 | Determination of refractive state | 3.1% | 1,166 | 1,149 | $937.35 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.7% | 47 | 45 | $519.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | 12 | $0.00 |
| 1036F | 0% | 12 | 12 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 33 | 33 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 43 | 43 | $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.