Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kaila Egan O.D., PLLC

Kaila Egan O.D., PLLC was paid $42K by Medicaid between Aug 2019 and Sep 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.

33Billing provider infoKAILA EGAN O.D., PLLC
WATERLOO, IA 50701
33aNPI1598199218assigned 08/29/2013
33bProvider typeOptometrist
28Total paid$42K
24GClaims1,349
24DCodes billed6
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers

Next to other Optometrist providers in Iowa

Rank by total paid#215 of 521
Median peer was paid$28K
This provider vs. median1.5×

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$4.0K2018201920202021202220232024
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
2019191$6K
2020258$10K
2021246$8K
2022276$7K
2023264$9K
2024incomplete114$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 39% 272 260 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 132 131 $12K
92015 Determination of refractive state 26% 787 757 $11K
V2020 Frames, purchases 5.3% 93 89 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 12 12 $345.72
V2756 Eye glass case <1% 53 51 $51.84

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.

From NPPES

Who's on the registration

Authorized officialEGAN, KAILA (OPTOMETRIST)