Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Thomas, Carolyn

Thomas, Carolyn was paid $42K by Medicaid between Oct 2022 and Nov 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 26% of everything it billed.

33Billing provider infoTHOMAS, CAROLYN
MOUNT VERNON, OH 43050
33aNPI1578185187assigned 05/18/2020
33bProvider typeOptometrist
28Total paid$42K
24GClaims2,175
24DCodes billed8
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#543 of 1,098
Median peer was paid$41K
This provider vs. median1.0×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
202212$661.92
2023916$13K
2024incomplete1,247$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26% 377 367 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 369 354 $10K
V2020 Frames, purchases 18% 604 581 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 18% 475 459 $7K
V2784 Lens, polycarbonate or equal, any index, per lens 4.9% 260 250 $2K
S0620 Routine ophthalmological examination including refraction; new patient 4.9% 40 40 $2K
S0621 Routine ophthalmological examination including refraction; established patient 3.3% 24 24 $1K
92015 Determination of refractive state <1% 26 26 $361.26

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.