Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Howard, James

Howard, James was paid $30K by Medicaid between Feb 2018 and Feb 2020, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.

33Billing provider infoHOWARD, JAMES
SENECA, SC 29678
33aNPI1659586410assigned 05/14/2007
33bProvider typeOptometrist
28Total paid$30K
24GClaims927
24DCodes billed4
24AFirst – last monthFeb 2018 – Feb 2020
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#193 of 425
Median peer was paid$22K
This provider vs. median1.4×

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$4.0K2018201920202021202220232024
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
2018539$18K
2019333$10K
202055$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32% 133 133 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 28% 108 108 $8K
92015 Determination of refractive state 27% 413 413 $8K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 273 273 $4K

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.