Gist, Russell
Gist, Russell was paid $21K by Medicaid between Feb 2018 and Dec 2022, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 61% of everything it billed.
33Billing provider infoGIST, RUSSELL
ANKENY, IA 50023
ANKENY, IA 50023
33aNPI1780650945assigned 02/27/2006
33bProvider typeOptometrist
28Total paid$21K
24GClaims1,101
24DCodes billed6
24AFirst – last monthFeb 2018 – Dec 2022
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#292 of 521
Median peer was paid$28K
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 | |
|---|---|---|---|
| 2018 | 314 | $6K | |
| 2019 | 409 | $8K | |
| 2020 | 149 | $4K | |
| 2021 | 126 | $3K | |
| 2022 | 103 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 61% | 276 | 274 | $13K |
| V2020 | Frames, purchases | 20% | 161 | 159 | $4K |
| 92015 | Determination of refractive state | 14% | 571 | 564 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.4% | 14 | 13 | $715.85 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 13 | 13 | $307.99 |
| V2756 | Eye glass case | <1% | 66 | 66 | $69.99 |
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.