Pratt, David
Pratt, David was paid $85K by Medicaid between Mar 2018 and Oct 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.
33Billing provider infoPRATT, DAVID
LEXINGTON, SC 29073
LEXINGTON, SC 29073
33aNPI1679679575assigned 09/16/2006
33bProvider typeOptometrist
28Total paid$85K
24GClaims2,535
24DCodes billed8
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#128 of 425
Median peer was paid$22K
This provider vs. median3.9×
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 | 623 | $11K | |
| 2019 | 632 | $13K | |
| 2020 | 136 | $5K | |
| 2022 | 302 | $17K | |
| 2023 | 476 | $23K | |
| 2024incomplete | 366 | $18K |
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 | 45% | 461 | 461 | $39K |
| 92015 | Determination of refractive state | 29% | 998 | 997 | $25K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 87 | 87 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.9% | 215 | 214 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.6% | 190 | 189 | $3K |
| V2020 | Frames, purchases | 2.9% | 195 | 194 | $2K |
| V2760 | Scratch resistant coating, per lens | 2.3% | 194 | 193 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.6% | 195 | 194 | $1K |
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.