Terry, Justin
Terry, Justin was paid $137K by Medicaid between Feb 2018 and Dec 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoTERRY, JUSTIN
GALLIPOLIS, OH 45631
GALLIPOLIS, OH 45631
33aNPI1598193039assigned 10/18/2013
33bProvider typeOptometrist
28Total paid$137K
24GClaims5,718
24DCodes billed3
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#249 of 1,098
Median peer was paid$41K
This provider vs. median3.3×
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
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 | 615 | $12K | |
| 2019 | 1,004 | $28K | |
| 2020 | 953 | $21K | |
| 2021 | 1,380 | $29K | |
| 2022 | 352 | $7K | |
| 2023 | 157 | $3K | |
| 2024incomplete | 1,257 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 48% | 1,610 | 1,536 | $65K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36% | 1,098 | 1,085 | $49K |
| 92015 | Determination of refractive state | 16% | 3,010 | 2,917 | $22K |
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.