Rosenthal, Bethany
Rosenthal, Bethany was paid $23K by Medicaid between Feb 2019 and Mar 2020, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 65% of everything it billed.
33Billing provider infoROSENTHAL, BETHANY
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
33aNPI1760973101assigned 05/22/2018
33bProvider typePediatric Optometrist
28Total paid$23K
24GClaims336
24DCodes billed4
24AFirst – last monthFeb 2019 – Mar 2020
Compared with peers
Next to other Pediatric Optometrist providers in Missouri
Rank by total paid#7 of 9
Median peer was paid$36K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 249 | $16K | |
| 2020 | 87 | $7K |
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 | 65% | 184 | 184 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 32 | 32 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 65 | 63 | $3K |
| 92015 | Determination of refractive state | 3.9% | 55 | 55 | $905.60 |
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.