Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

Carter, David

Carter, David was paid $183K by Medicaid between Aug 2018 and Nov 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.

33Billing provider infoCARTER, DAVID
REEDLEY, CA 93654
33aNPI1700872983assigned 09/23/2005
33bProvider typeOptometrist
28Total paid$183K
24GClaims21,464
24DCodes billed11
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#340 of 1,899
Median peer was paid$23K
This provider vs. median8.1×

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
2018707$5K
20192,797$25K
20203,722$38K
20213,589$29K
20223,448$29K
20233,811$31K
2024incomplete3,390$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 2,767 2,765 $53K
V2020 Frames, purchases 19% 4,860 4,829 $35K
92340 Fitting of spectacles, except for aphakia; monofocal 15% 3,742 3,729 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 1,876 1,874 $21K
92015 Determination of refractive state 10% 6,240 6,197 $18K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8.1% 722 722 $15K
92341 3.1% 501 500 $6K
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 3.1% 552 551 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 86 71 $673.92
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 37 25 $436.55
92202 <1% 81 81 $266.69

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.