Fox, Anthony
Fox, Anthony was paid $454K by Medicaid between Jan 2018 and Jan 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 21% of everything it billed.
33Billing provider infoFOX, ANTHONY
BELLEFONTAINE, OH 43311
BELLEFONTAINE, OH 43311
33aNPI1770547960assigned 04/14/2006
33bProvider typeOptometrist
28Total paid$454K
24GClaims19,900
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#73 of 1,098
Median peer was paid$41K
This provider vs. median11×
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 | 4,144 | $95K | |
| 2019 | 1,796 | $39K | |
| 2020 | 4,283 | $95K | |
| 2021 | 4,627 | $110K | |
| 2022 | 3,594 | $93K | |
| 2023 | 1,278 | $22K | |
| 2024incomplete | 178 | $0.00 |
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 | 21% | 2,320 | 2,306 | $94K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 2,046 | 2,030 | $84K |
| V2020 | Frames, purchases | 15% | 4,658 | 4,604 | $68K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 3,292 | 3,264 | $57K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.2% | 1,684 | 1,672 | $37K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 6.3% | 451 | 448 | $28K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 5.4% | 868 | 860 | $25K |
| 92015 | Determination of refractive state | 4.6% | 2,276 | 2,260 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.1% | 661 | 651 | $14K |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 1.9% | 275 | 272 | $9K |
| V2760 | Scratch resistant coating, per lens | 1.3% | 605 | 600 | $6K |
| V2755 | U-v lens, per lens | 1.1% | 609 | 602 | $5K |
2 more codes
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.