Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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David R Holliday Od

David R Holliday Od was paid $134K by Medicaid between Jan 2018 and Oct 2021, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.

33Billing provider infoDAVID R HOLLIDAY OD
BECKLEY, WV 25801
33aNPI1619149903assigned 03/27/2008
33bProvider typeOptometrist
28Total paid$134K
24GClaims3,645
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Optometrist providers in West Virginia

Rank by total paid#50 of 115
Median peer was paid$82K
This provider vs. median1.6×

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$5.0K$10K2018201920202021202220232024
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
20181,146$41K
2019948$35K
2020812$30K
2021739$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 41% 889 837 $55K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 36% 638 607 $48K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 8.0% 246 227 $11K
V2020 Frames, purchases 5.3% 150 140 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3.9% 143 134 $5K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1.4% 423 394 $2K
G8732 No documentation of pain assessment, reason not given 1.4% 323 303 $2K
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented <1% 165 156 $1K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) <1% 40 38 $918.00
92083 <1% 12 12 $647.62
92015 Determination of refractive state <1% 399 364 $494.83
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 140 129 $457.30
2 more codes
1036F <1% 64 $349.34
4004F <1% 13 $93.30

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 officialHOLLIDAY, DAVID (OWNER)