Bierly, James
Bierly, James was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 20% of everything it billed.
33Billing provider infoBIERLY, JAMES
DAYTON, OH 45459
DAYTON, OH 45459
33aNPI1609921550assigned 01/23/2007
33bProvider typeOptometrist
28Total paid$1.49M
24GClaims64,163
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#16 of 1,098
Median peer was paid$41K
This provider vs. median36×
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 | 6,440 | $164K | |
| 2019 | 7,072 | $167K | |
| 2020 | 10,168 | $225K | |
| 2021 | 10,590 | $236K | |
| 2022 | 9,598 | $248K | |
| 2023 | 9,552 | $206K | |
| 2024incomplete | 10,743 | $250K |
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 | 20% | 7,601 | 7,162 | $292K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 6,462 | 6,221 | $249K |
| 92015 | Determination of refractive state | 9.2% | 8,745 | 8,189 | $138K |
| V2020 | Frames, purchases | 8.0% | 8,842 | 8,169 | $120K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.5% | 5,999 | 5,542 | $97K |
| 92310 | 5.7% | 1,631 | 1,595 | $85K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.7% | 4,318 | 4,113 | $85K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.6% | 7,746 | 7,157 | $84K |
| 92250 | 4.9% | 2,574 | 2,421 | $73K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 1,112 | 1,020 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 897 | 824 | $38K |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | 2.4% | 856 | 760 | $36K |
18 more codes
| 92342 | 2.1% | 1,275 | $31K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.0% | 1,060 | $29K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | 1.3% | 1,539 | $19K |
| 92225 | 1.1% | 1,134 | $16K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 205 | $10K |
| V2780 | Oversize lens, per lens | <1% | 428 | $8K |
| V2760 | Scratch resistant coating, per lens | <1% | 666 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 63 | $4K |
| V2750 | Anti-reflective coating, per lens | <1% | 176 | $3K |
| V2744 | Tint, photochromatic, per lens | <1% | 76 | $3K |
| 92202 | <1% | 173 | $2K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 112 | $2K |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 31 | $1K |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | <1% | 46 | $866.00 |
| 92341 | <1% | 31 | $767.50 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 18 | $521.50 |
| 3072F | <1% | 170 | $300.00 | |
| 2026F | 0% | 177 | $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.