Graves, Paul
Graves, Paul was paid $602K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 23% of everything it billed.
33Billing provider infoGRAVES, PAUL
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1801917596assigned 04/02/2007
33bProvider typeOptometrist
28Total paid$602K
24GClaims17,371
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Mexico
Rank by total paid#27 of 122
Median peer was paid$112K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2018 | 3,769 | $123K | |
| 2019 | 4,164 | $125K | |
| 2020 | 2,763 | $79K | |
| 2021 | 2,417 | $69K | |
| 2022 | 1,992 | $66K | |
| 2023 | 1,250 | $65K | |
| 2024incomplete | 1,016 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 1,396 | 1,390 | $136K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 1,366 | 1,353 | $126K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 4,236 | 4,195 | $103K |
| V2020 | Frames, purchases | 13% | 3,291 | 3,262 | $75K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.7% | 1,441 | 1,425 | $58K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.8% | 1,744 | 1,727 | $35K |
| V2025 | Deluxe frame | 4.8% | 687 | 685 | $29K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.1% | 339 | 339 | $25K |
| 92015 | Determination of refractive state | 2.5% | 2,815 | 2,800 | $15K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 56 | 56 | $674.88 |
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.