Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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James, Danielle

James, Danielle was paid $2K by Medicaid between Jan 2018 and Mar 2018, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 73% of everything it billed.

33Billing provider infoJAMES, DANIELLE
GENESEO, NY 14454
33aNPI1609847011assigned 02/01/2006
33bProvider typeOptometrist
28Total paid$2K
24GClaims56
24DCodes billed2
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#1,260 of 1,605
Median peer was paid$29K
This provider vs. median0.1×

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$2.0K2018201920202021202220232024
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
201856$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 73% 15 15 $2K
92015 Determination of refractive state 27% 41 41 $601.47

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.