Petersen, Roger
Petersen, Roger was paid $47K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 69% of everything it billed.
33Billing provider infoPETERSEN, ROGER
HIGGINSVILLE, MO 64037
HIGGINSVILLE, MO 64037
33aNPI1679515787assigned 06/12/2006
33bProvider typeOptometrist
28Total paid$47K
24GClaims2,405
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#167 of 547
Median peer was paid$19K
This provider vs. median2.5×
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 | 334 | $6K | |
| 2019 | 390 | $7K | |
| 2020 | 377 | $7K | |
| 2021 | 475 | $9K | |
| 2022 | 346 | $7K | |
| 2023 | 214 | $5K | |
| 2024incomplete | 269 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 69% | 1,759 | 1,757 | $32K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 26% | 591 | 591 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.9% | 27 | 27 | $2K |
| 92015 | Determination of refractive state | <1% | 28 | 28 | $144.48 |
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.