Goicoechea, Philip
Goicoechea, Philip was paid $30K by Medicaid between Jan 2018 and Feb 2021, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 64% of everything it billed.
33Billing provider infoGOICOECHEA, PHILIP
HAMILTON, MT 59840
HAMILTON, MT 59840
33aNPI1558356824assigned 09/13/2005
33bProvider typeOptometrist
28Total paid$30K
24GClaims2,099
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#72 of 113
Median peer was paid$95K
This provider vs. median0.3×
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 | 272 | $9K | |
| 2019 | 1,151 | $14K | |
| 2020 | 462 | $5K | |
| 2021 | 214 | $2K |
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 | 64% | 245 | 238 | $19K |
| 92015 | Determination of refractive state | 26% | 581 | 564 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 28 | 28 | $3K |
| 1036F | 0% | 294 | 280 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 294 | 280 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 378 | 358 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 279 | 265 | $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.