Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lim, Joaquin

Lim, Joaquin was paid $336K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoLIM, JOAQUIN
EAST CLEVELAND, OH 44112
33aNPI1568541407assigned 11/02/2006
33bProvider typeOptometrist
28Total paid$336K
24GClaims12,617
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#103 of 1,098
Median peer was paid$41K
This provider vs. median8.2×

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$10K$15K2018201920202021202220232024
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
20183,855$100K
20193,935$98K
20201,250$31K
20211,179$34K
20221,069$32K
2023798$23K
2024incomplete531$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 2,101 2,043 $89K
92100 20% 2,667 2,585 $68K
92015 Determination of refractive state 18% 3,011 2,933 $60K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 2,055 1,972 $45K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8.1% 602 584 $27K
92225 5.3% 1,140 1,104 $18K
92341 3.9% 544 524 $13K
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% 170 167 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.9% 139 128 $6K
V2020 Frames, purchases <1% 123 121 $133.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 43 42 $30.00
92202 <1% 22 19 $12.50

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.