Clifton, Derek
Clifton, Derek was paid $195K by Medicaid between Jul 2023 and Jun 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.
33Billing provider infoCLIFTON, DEREK
LAS CRUCES, NM 88001
LAS CRUCES, NM 88001
33aNPI1760084719assigned 11/14/2020
33bProvider typeOptometrist
28Total paid$195K
24GClaims5,530
24DCodes billed11
24AFirst – last monthJul 2023 – Jun 2024
Compared with peers
Next to other Optometrist providers in New Mexico
Rank by total paid#50 of 122
Median peer was paid$112K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2023 | 2,751 | $77K | |
| 2024incomplete | 2,779 | $118K |
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 | 23% | 546 | 538 | $45K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 427 | 427 | $33K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17% | 995 | 558 | $32K |
| V2020 | Frames, purchases | 12% | 760 | 727 | $24K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 809 | 771 | $21K |
| 92250 | 6.6% | 191 | 188 | $13K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.3% | 630 | 603 | $8K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 4.3% | 216 | 144 | $8K |
| 92015 | Determination of refractive state | 3.0% | 853 | 851 | $6K |
| 92133 | 1.9% | 91 | 91 | $4K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | 12 | $577.08 |
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.