Ethakoti, Daniel
Ethakoti, Daniel was paid $290K by Medicaid between Jan 2018 and Nov 2021, across 9 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 22% of everything it billed.
33Billing provider infoETHAKOTI, DANIEL
SAINT LOUIS, MO 63109
SAINT LOUIS, MO 63109
33aNPI1740662964assigned 06/24/2015
33bProvider typeOptometrist
28Total paid$290K
24GClaims16,685
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#35 of 547
Median peer was paid$19K
This provider vs. median15×
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 | 10,827 | $167K | |
| 2019 | 5,696 | $119K | |
| 2020 | 148 | $3K | |
| 2021 | 14 | $74.33 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 22% | 3,837 | 3,009 | $65K |
| V2020 | Frames, purchases | 22% | 3,747 | 3,173 | $64K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 1,488 | 1,250 | $62K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 3,167 | 2,505 | $40K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 781 | 633 | $31K |
| 92015 | Determination of refractive state | 3.6% | 2,398 | 1,985 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.6% | 691 | 548 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.4% | 448 | 376 | $7K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 128 | 117 | $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.