Kauffman, John
Kauffman, John was paid $72K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.
33Billing provider infoKAUFFMAN, JOHN
HAMPTON, VA 23666
HAMPTON, VA 23666
33aNPI1629022751assigned 05/22/2006
33bProvider typeOptometrist
28Total paid$72K
24GClaims1,967
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#170 of 491
Median peer was paid$23K
This provider vs. median3.1×
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
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 | 395 | $13K | |
| 2019 | 568 | $19K | |
| 2020 | 116 | $5K | |
| 2021 | 302 | $10K | |
| 2022 | 246 | $7K | |
| 2023 | 191 | $10K | |
| 2024incomplete | 149 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 37% | 603 | 603 | $27K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26% | 419 | 416 | $19K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 20% | 346 | 337 | $14K |
| V2020 | Frames, purchases | 10% | 120 | 120 | $7K |
| V2025 | Deluxe frame | 4.7% | 74 | 74 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | 12 | $676.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 12 | 12 | $540.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 15 | 15 | $50.00 |
| 92015 | Determination of refractive state | 0% | 364 | 363 | $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.