Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nosacka, Douglas

Nosacka, Douglas was paid $186K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 52% of everything it billed.

33Billing provider infoNOSACKA, DOUGLAS
MALDEN, MO 63863
33aNPI1760614598assigned 08/12/2009
33bProvider typeOptometrist
28Total paid$186K
24GClaims6,720
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#54 of 547
Median peer was paid$19K
This provider vs. median9.8×

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$5.0K$10K2018201920202021202220232024
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
20181,987$39K
20192,152$53K
2020620$16K
2021436$12K
2022394$14K
2023784$41K
2024incomplete347$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 52% 1,377 1,323 $96K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26% 964 925 $48K
92015 Determination of refractive state 9.6% 2,698 2,595 $18K
V2020 Frames, purchases 6.8% 650 615 $13K
V2784 Lens, polycarbonate or equal, any index, per lens 3.8% 550 482 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.0% 387 360 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 69 52 $608.00
3072F <1% 25 25 $250.00

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.