Goldstein, James
Goldstein, James was paid $396K by Medicaid between Jan 2018 and Mar 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoGOLDSTEIN, JAMES
MATTOON, IL 61938
MATTOON, IL 61938
33aNPI1700874922assigned 10/11/2005
33bProvider typeOptometrist
28Total paid$396K
24GClaims14,225
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#172 of 1,069
Median peer was paid$56K
This provider vs. median7.1×
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
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 | 1,905 | $48K | |
| 2019 | 3,369 | $92K | |
| 2020 | 4,127 | $118K | |
| 2021 | 1,677 | $48K | |
| 2022 | 1,824 | $53K | |
| 2023 | 1,092 | $29K | |
| 2024incomplete | 231 | $7K |
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 | 31% | 3,910 | 3,500 | $122K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 24% | 3,273 | 2,934 | $96K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 1,813 | 1,538 | $77K |
| 92015 | Determination of refractive state | 19% | 4,162 | 3,637 | $75K |
| 92250 | 3.8% | 563 | 502 | $15K | |
| V2020 | Frames, purchases | 2.0% | 322 | 301 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 182 | 175 | $3K |
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.