Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KS › Hutchinson › NPI 1508962150

Pyle, James

Pyle, James was paid $19K by Medicaid between Apr 2018 and Aug 2024, across 6 billing codes. Its largest line is V2020, Frames, purchases — 47% of everything it billed.

33Billing provider infoPYLE, JAMES
HUTCHINSON, KS 67502
33aNPI1508962150assigned 09/14/2006
33bProvider typeOptometrist
28Total paid$19K
24GClaims716
24DCodes billed6
24AFirst – last monthApr 2018 – Aug 2024
Compared with peers

Next to other Optometrist providers in Kansas

Rank by total paid#167 of 349
Median peer was paid$17K
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$2.5K$5.0K$7.5K2018201920202021202220232024
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
201873$1K
2019244$5K
2021161$8K
202245$1K
2023181$4K
2024incomplete12$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 47% 236 234 $9K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 37% 54 47 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6.9% 13 13 $1K
92015 Determination of refractive state 5.4% 351 337 $1K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 1.9% 37 37 $360.00
V2760 Scratch resistant coating, per lens 1.4% 25 24 $262.00

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.