Fallis, Claud
Fallis, Claud was paid $78K by Medicaid between Apr 2020 and Apr 2021, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoFALLIS, CLAUD
ABBEVILLE, LA 70510
ABBEVILLE, LA 70510
33aNPI1770610966assigned 02/27/2007
33bProvider typeOptometrist
28Total paid$78K
24GClaims2,901
24DCodes billed8
24AFirst – last monthApr 2020 – Apr 2021
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#289 of 442
Median peer was paid$199K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 2,068 | $56K | |
| 2021 | 833 | $23K |
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 | 35% | 419 | 374 | $27K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17% | 448 | 395 | $13K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 145 | 139 | $12K |
| 92015 | Determination of refractive state | 12% | 585 | 533 | $10K |
| V2020 | Frames, purchases | 10.0% | 617 | 548 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.5% | 646 | 588 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 27 | 16 | $490.90 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 14 | 12 | $104.50 |
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.