Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pham, Daniel

Pham, Daniel was paid $339K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 49% of everything it billed.

33Billing provider infoPHAM, DANIEL
ROCKFORD, IL 61114
33aNPI1558372524assigned 08/11/2006
33bProvider typeOptometrist
28Total paid$339K
24GClaims10,697
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#200 of 1,069
Median peer was paid$56K
This provider vs. median6.1×

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$5.0K$10K2018201920202021202220232024
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
20181,331$43K
20191,901$60K
20201,491$47K
20211,163$37K
20221,836$58K
20231,624$51K
2024incomplete1,351$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 49% 3,594 3,324 $166K
92015 Determination of refractive state 29% 5,424 5,003 $99K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 1,679 1,517 $74K

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.