Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Mcalester › NPI 1629089594
Supplier

Johnson Optical Dispensary

Johnson Optical Dispensary was paid $97K by Medicaid between Jan 2018 and Jul 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.

33Billing provider infoJOHNSON OPTICAL DISPENSARY
MCALESTER, OK 74501
33aNPI1629089594assigned 08/10/2006
28Total paid$97K
24GClaims3,946
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Oklahoma

Rank by total paid#90 of 166
Median peer was paid$146K
This provider vs. median0.7×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018838$21K
20191,017$25K
2020445$11K
2021560$15K
2022603$14K
2023410$10K
2024incomplete73$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 38% 351 351 $37K
92340 Fitting of spectacles, except for aphakia; monofocal 23% 745 743 $22K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 17% 590 587 $16K
92015 Determination of refractive state 12% 665 665 $12K
V2020 Frames, purchases 7.7% 751 749 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.0% 24 24 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 0% 820 817 $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.

From NPPES

Who's on the registration

Authorized officialEDWARDS, CAROLYN (DOCTOR/OWNER)