Ferguson, James

Ferguson, James was paid $754K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 27% of everything it billed.

33Billing provider infoFERGUSON, JAMES
HIGHLAND, IN 46322

33aNPI1548269202assigned 07/15/2005

33bProvider typeOptometrist

28Total paid$754K

24GClaims22,574

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Optometrist providers in Indiana

Rank by total paid#85 of 743

Median peer was paid$22K

This provider vs. median35×

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	6,621	$178K
2019	4,353	$152K
2020	3,069	$107K
2021	2,622	$92K
2022	3,256	$120K
2023	1,943	$69K
2024incomplete	710	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	27%	3,696	3,501	$202K
V2020	Frames, purchases	21%	6,078	5,669	$161K
92015	Determination of refractive state	11%	6,360	5,978	$82K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	11%	2,022	1,892	$81K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	8.7%	1,614	1,494	$66K
92002		7.2%	1,116	1,056	$54K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.4%	369	304	$34K
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	3.2%	238	220	$24K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.9%	485	413	$22K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	1.5%	271	249	$11K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	<1%	129	123	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	84	80	$5K

4 more codes

V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	37	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	15	$2K
92083		<1%	28	$2K
V2755	U-v lens, per lens	<1%	32	$480.00

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.