Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Anderson, Paul

Anderson, Paul was paid $41K by Medicaid between Oct 2020 and Nov 2024, across 6 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 45% of everything it billed.

33Billing provider infoANDERSON, PAUL
BUTLER, PA 16001
33aNPI1588741318assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$41K
24GClaims1,300
24DCodes billed6
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#376 of 983
Median peer was paid$20K
This provider vs. median2.1×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
202030$900.00
2021170$5K
2022329$10K
2023404$14K
2024incomplete367$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 45% 620 617 $19K
S0620 Routine ophthalmological examination including refraction; new patient 43% 599 593 $18K
V2020 Frames, purchases 7.3% 31 31 $3K
S0592 Comprehensive contact lens evaluation 2.1% 25 25 $876.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.3% 13 13 $520.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.2% 12 12 $480.00

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.