Phillips, James
Phillips, James was paid $49K by Medicaid between Mar 2019 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.
33Billing provider infoPHILLIPS, JAMES
WINTER HAVEN, FL 33881
WINTER HAVEN, FL 33881
33aNPI1598759219assigned 09/08/2005
33bProvider typeOptometrist
28Total paid$49K
24GClaims2,945
24DCodes billed7
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#348 of 941
Median peer was paid$21K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2019 | 299 | $3K | |
| 2021 | 553 | $9K | |
| 2022 | 1,365 | $25K | |
| 2023 | 282 | $5K | |
| 2024incomplete | 446 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 42% | 380 | 355 | $21K |
| V2020 | Frames, purchases | 34% | 657 | 599 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 120 | 119 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.1% | 490 | 442 | $2K |
| 92015 | Determination of refractive state | 3.7% | 827 | 739 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.6% | 458 | 412 | $796.34 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 13 | 12 | $0.00 |
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.