Koets, Donald
Koets, Donald was paid $4K by Medicaid between Apr 2018 and Nov 2018, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 47% of everything it billed.
33Billing provider infoKOETS, DONALD
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1689667016assigned 08/31/2005
33bProvider typeOptometrist
28Total paid$4K
24GClaims152
24DCodes billed3
24AFirst – last monthApr 2018 – Nov 2018
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#305 of 425
Median peer was paid$22K
This provider vs. median0.2×
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 | 152 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 47% | 25 | 25 | $2K |
| 92015 | Determination of refractive state | 42% | 90 | 89 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 37 | 37 | $444.00 |
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.