Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Franklin, Henry

Franklin, Henry was paid $51K by Medicaid between Mar 2018 and Sep 2022, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 66% of everything it billed.

33Billing provider infoFRANKLIN, HENRY
WALTERBORO, SC 29488
33aNPI1710051131assigned 11/17/2006
33bProvider typeOptometrist
28Total paid$51K
24GClaims1,449
24DCodes billed4
24AFirst – last monthMar 2018 – Sep 2022
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#159 of 425
Median peer was paid$22K
This provider vs. median2.3×

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$2.0K$3.0K2018201920202021202220232024
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
2018466$17K
2019697$25K
202087$2K
2021187$7K
202212$117.48
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 66% 423 422 $34K
92015 Determination of refractive state 21% 587 586 $11K
92340 Fitting of spectacles, except for aphakia; monofocal 11% 427 426 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.7% 12 12 $861.69

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.