Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Boone, Daniel

Boone, Daniel was paid $100K by Medicaid between Jan 2018 and May 2020, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.

33Billing provider infoBOONE, DANIEL
NIXA, MO 65714
33aNPI1679521603assigned 05/04/2006
33bProvider typeOptometrist
28Total paid$100K
24GClaims6,408
24DCodes billed10
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#91 of 547
Median peer was paid$19K
This provider vs. median5.3×

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
20182,937$44K
20192,736$44K
2020735$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 32% 722 645 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26% 612 514 $25K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 10% 354 325 $10K
92015 Determination of refractive state 10% 2,205 1,911 $10K
92002 6.4% 229 205 $6K
92340 Fitting of spectacles, except for aphakia; monofocal 5.3% 1,424 1,347 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 5.2% 468 166 $5K
V2020 Frames, purchases 4.2% 269 199 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 103 39 $783.19
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 22 13 $262.02

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.