Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sample, Neil

Sample, Neil was paid $7K by Medicaid between Jan 2018 and Aug 2018, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoSAMPLE, NEIL
ABINGDON, VA 24210
33aNPI1689907164assigned 09/15/2009
33bProvider typeOptometrist
28Total paid$7K
24GClaims177
24DCodes billed2
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#325 of 491
Median peer was paid$23K
This provider vs. median0.3×

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$1.0K$2.0K2018201920202021202220232024
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
2018177$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 75% 68 68 $5K
92015 Determination of refractive state 25% 109 107 $2K

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.