Hettinger, Jacob
Hettinger, Jacob was paid $1.65M by Medicaid between Jan 2018 and Nov 2022, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoHETTINGER, JACOB
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1518318898assigned 06/28/2016
33bProvider typeOptometrist
28Total paid$1.65M
24GClaims57,235
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#5 of 209
Median peer was paid$24K
This provider vs. median69×
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 | 14,015 | $404K | |
| 2019 | 3,495 | $89K | |
| 2020 | 9,890 | $274K | |
| 2021 | 17,719 | $504K | |
| 2022 | 12,116 | $380K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 4,952 | 4,807 | $335K |
| 92015 | Determination of refractive state | 12% | 9,127 | 8,707 | $203K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 3,983 | 3,781 | $188K |
| V2020 | Frames, purchases | 8.1% | 7,241 | 6,937 | $133K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.8% | 3,111 | 3,000 | $128K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.9% | 6,664 | 6,240 | $114K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 2,089 | 1,961 | $99K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 4.7% | 4,352 | 4,076 | $78K |
| 92370 | 3.5% | 7,431 | 6,958 | $58K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 594 | 570 | $47K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.4% | 876 | 840 | $40K |
| 92250 | 2.0% | 1,045 | 998 | $34K |
17 more codes
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | 2.0% | 359 | $33K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 253 | $20K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 376 | $20K |
| 92083 | 1.2% | 578 | $19K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.2% | 365 | $19K |
| 92133 | 1.0% | 713 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 449 | $16K |
| 92342 | <1% | 496 | $10K | |
| 92341 | <1% | 511 | $10K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 369 | $10K |
| 92226 | <1% | 335 | $6K | |
| 92225 | <1% | 167 | $5K | |
| 92202 | <1% | 673 | $5K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 59 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 27 | $2K |
| V2756 | Eye glass case | <1% | 20 | $75.00 |
| 99072 | 0% | 20 | $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.