Koon, Tiffany
Koon, Tiffany was paid $9K by Medicaid between Jan 2020 and Sep 2022, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.
33Billing provider infoKOON, TIFFANY
GAMBRILLS, MD 21054
GAMBRILLS, MD 21054
33aNPI1760820054assigned 06/07/2013
33bProvider typeOptometrist
28Total paid$9K
24GClaims1,233
24DCodes billed8
24AFirst – last monthJan 2020 – Sep 2022
Compared with peers
Next to other Optometrist providers in Maryland
Rank by total paid#224 of 345
Median peer was paid$27K
This provider vs. median0.3×
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
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 | |
|---|---|---|---|
| 2020 | 398 | $3K | |
| 2021 | 496 | $4K | |
| 2022 | 339 | $2K |
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 | 46% | 305 | 275 | $4K |
| V2020 | Frames, purchases | 23% | 298 | 282 | $2K |
| 92250 | 14% | 184 | 162 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13% | 101 | 75 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.6% | 21 | 17 | $146.28 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.3% | 75 | 67 | $123.50 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 31 | 27 | $75.00 |
| 92015 | Determination of refractive state | 0% | 218 | 186 | $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.