Bouscher, Karen
Bouscher, Karen was paid $322K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.
33Billing provider infoBOUSCHER, KAREN
WADSWORTH, OH 44281
WADSWORTH, OH 44281
33aNPI1629083092assigned 07/31/2006
33bProvider typeOptometrist
28Total paid$322K
24GClaims9,245
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#108 of 1,098
Median peer was paid$41K
This provider vs. median7.8×
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 | 1,315 | $55K | |
| 2019 | 2,583 | $75K | |
| 2020 | 1,911 | $59K | |
| 2021 | 862 | $39K | |
| 2022 | 1,036 | $46K | |
| 2023 | 782 | $24K | |
| 2024incomplete | 756 | $25K |
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 | 43% | 3,583 | 3,570 | $139K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43% | 3,517 | 3,485 | $139K |
| 92015 | Determination of refractive state | 8.3% | 1,791 | 1,784 | $27K |
| 92310 | 5.2% | 340 | 337 | $17K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 13 | $808.64 |
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.