Coates, Janice
Coates, Janice was paid $317K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is V2020, Frames, purchases — 18% of everything it billed.
33Billing provider infoCOATES, JANICE
DAYTON, OH 45416
DAYTON, OH 45416
33aNPI1609091982assigned 04/13/2007
33bProvider typeOptometrist
28Total paid$317K
24GClaims15,077
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#110 of 1,098
Median peer was paid$41K
This provider vs. median7.7×
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 | 3,330 | $75K | |
| 2019 | 3,550 | $83K | |
| 2020 | 1,610 | $34K | |
| 2021 | 972 | $14K | |
| 2022 | 2,264 | $48K | |
| 2023 | 2,015 | $32K | |
| 2024incomplete | 1,336 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 18% | 3,828 | 3,651 | $56K |
| 92015 | Determination of refractive state | 14% | 3,751 | 3,580 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 914 | 879 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 586 | 553 | $28K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.8% | 1,415 | 1,377 | $28K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.7% | 663 | 646 | $24K |
| 92341 | 6.9% | 1,050 | 979 | $22K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.9% | 312 | 284 | $22K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.0% | 437 | 372 | $19K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.2% | 828 | 814 | $13K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.4% | 369 | 357 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.0% | 582 | 573 | $9K |
5 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 126 | $5K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 99 | $2K |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | <1% | 43 | $2K |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 28 | $840.00 |
| V2756 | Eye glass case | 0% | 46 | $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.