1558386722

1558386722 was paid $240K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.

33Billing provider info1558386722

33aNPI1558386722

33bProvider type—

28Total paid$240K

24GClaims8,004

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

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	1,084	$29K
2019	1,448	$31K
2020	1,230	$34K
2021	1,975	$55K
2022	1,322	$50K
2023	766	$35K
2024incomplete	179	$8K

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	30%	725	611	$72K
92060		19%	1,337	1,245	$44K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	17%	865	777	$40K
92020		10%	2,223	1,998	$25K
92002		10%	566	536	$25K
92015	Determination of refractive state	5.8%	581	542	$14K
92100		3.4%	318	306	$8K
92225		1.9%	625	356	$4K
92202		1.6%	386	357	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	12	12	$2K
76514		<1%	366	331	$1K

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.