Cole, Benjamin
Cole, Benjamin was paid $23K by Medicaid between Aug 2019 and Oct 2024, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 39% of everything it billed.
33Billing provider infoCOLE, BENJAMIN
NORTON, KS 67654
NORTON, KS 67654
33aNPI1801101886assigned 08/13/2010
33bProvider typeOptometrist
28Total paid$23K
24GClaims792
24DCodes billed5
24AFirst – last monthAug 2019 – Oct 2024
Compared with peers
Next to other Optometrist providers in Kansas
Rank by total paid#159 of 349
Median peer was paid$17K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2019 | 48 | $850.17 | |
| 2020 | 56 | $2K | |
| 2021 | 112 | $3K | |
| 2022 | 115 | $4K | |
| 2023 | 332 | $9K | |
| 2024incomplete | 129 | $5K |
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 | 39% | 228 | 201 | $9K |
| V2020 | Frames, purchases | 38% | 244 | 191 | $9K |
| V2760 | Scratch resistant coating, per lens | 15% | 241 | 192 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.5% | 66 | 29 | $1K |
| 92002 | 3.1% | 13 | 13 | $703.48 |
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.