Paulus, Bennett
Paulus, Bennett was paid $35K by Medicaid between Jan 2018 and Feb 2023, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 25% of everything it billed.
33Billing provider infoPAULUS, BENNETT
FOSTORIA, OH 44830
FOSTORIA, OH 44830
33aNPI1750580163assigned 07/16/2007
33bProvider typeOptometrist
28Total paid$35K
24GClaims2,113
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#576 of 1,098
Median peer was paid$41K
This provider vs. median0.9×
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 | 100 | $604.07 | |
| 2019 | 58 | $145.81 | |
| 2020 | 209 | $3K | |
| 2021 | 473 | $9K | |
| 2022 | 1,043 | $18K | |
| 2023 | 230 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 198 | 198 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 164 | 164 | $7K |
| V2020 | Frames, purchases | 16% | 432 | 428 | $6K |
| 92015 | Determination of refractive state | 14% | 692 | 687 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 211 | 211 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.5% | 122 | 120 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.0% | 281 | 276 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 13 | 12 | $0.00 |
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.