Heiby, John
Heiby, John was paid $89K by Medicaid between Jan 2018 and Dec 2021, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 58% of everything it billed.
33Billing provider infoHEIBY, JOHN
SAINT CLAIRSVILLE, OH 43950
SAINT CLAIRSVILLE, OH 43950
33aNPI1790778074assigned 08/23/2005
33bProvider typeOptometrist
28Total paid$89K
24GClaims3,424
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#359 of 1,098
Median peer was paid$41K
This provider vs. median2.2×
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 | 1,156 | $29K | |
| 2019 | 1,224 | $31K | |
| 2020 | 635 | $16K | |
| 2021 | 409 | $12K |
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 | 58% | 1,308 | 1,181 | $51K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 901 | 831 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 321 | 298 | $15K |
| 92341 | 5.9% | 233 | 207 | $5K | |
| 92015 | Determination of refractive state | <1% | 159 | 146 | $734.11 |
| 3072F | <1% | 430 | 419 | $30.00 | |
| 2025F | 0% | 42 | 42 | $0.00 | |
| 2026F | 0% | 30 | 30 | $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.