Lempp, Ryan
Lempp, Ryan was paid $553K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoLEMPP, RYAN
COUNCIL BLUFFS, IA 51501
COUNCIL BLUFFS, IA 51501
33aNPI1619932720assigned 04/20/2006
33bProvider typeOptometrist
28Total paid$553K
24GClaims13,437
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#9 of 521
Median peer was paid$28K
This provider vs. median20×
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 | 671 | $60K | |
| 2019 | 638 | $54K | |
| 2020 | 2,417 | $100K | |
| 2021 | 3,110 | $114K | |
| 2022 | 3,010 | $102K | |
| 2023 | 2,456 | $83K | |
| 2024incomplete | 1,135 | $39K |
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 | 53% | 3,204 | 3,149 | $293K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 2,491 | 2,440 | $165K |
| V2020 | Frames, purchases | 7.1% | 1,716 | 1,615 | $39K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.9% | 1,313 | 1,256 | $27K |
| 92015 | Determination of refractive state | 4.9% | 3,430 | 3,367 | $27K |
| V2756 | Eye glass case | <1% | 1,283 | 1,201 | $1K |
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.