Duggan, Douglas
Duggan, Douglas was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.
33Billing provider infoDUGGAN, DOUGLAS
SUNNYSIDE, WA 98944
SUNNYSIDE, WA 98944
33aNPI1629086160assigned 08/03/2006
33bProvider typeOptometrist
28Total paid$1.03M
24GClaims31,884
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#14 of 565
Median peer was paid$23K
This provider vs. median44×
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 | 4,781 | $176K | |
| 2019 | 4,295 | $150K | |
| 2020 | 2,793 | $96K | |
| 2021 | 3,480 | $110K | |
| 2022 | 3,885 | $141K | |
| 2023 | 6,858 | $194K | |
| 2024incomplete | 5,792 | $162K |
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% | 5,811 | 5,774 | $377K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 3,686 | 3,674 | $287K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 10,533 | 10,330 | $201K |
| 92015 | Determination of refractive state | 9.1% | 9,437 | 9,385 | $93K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 727 | 631 | $32K |
| V2020 | Frames, purchases | 1.5% | 769 | 766 | $15K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.3% | 343 | 306 | $14K |
| 92250 | <1% | 419 | 414 | $7K | |
| 92310 | <1% | 54 | 54 | $2K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 44 | 44 | $1K |
| 92025 | <1% | 15 | 14 | $258.16 | |
| 92285 | <1% | 13 | 12 | $134.29 |
1 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 33 | $26.00 |
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.