Fulton, Tyler
Fulton, Tyler was paid $123K by Medicaid between Jul 2018 and Dec 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 67% of everything it billed.
33Billing provider infoFULTON, TYLER
DES MOINES, IA 50317
DES MOINES, IA 50317
33aNPI1770006991assigned 07/19/2017
33bProvider typeOptometrist
28Total paid$123K
24GClaims4,401
24DCodes billed5
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#102 of 521
Median peer was paid$28K
This provider vs. median4.4×
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 | 274 | $9K | |
| 2019 | 359 | $7K | |
| 2020 | 254 | $7K | |
| 2021 | 474 | $14K | |
| 2022 | 1,057 | $41K | |
| 2023 | 1,351 | $32K | |
| 2024incomplete | 632 | $14K |
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 | 67% | 919 | 908 | $82K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 33% | 638 | 634 | $41K |
| 92015 | Determination of refractive state | <1% | 2,045 | 2,023 | $60.20 |
| 1036F | 0% | 337 | 333 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 462 | 458 | $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.