Barry L Fallesen
Barry L Fallesen was paid $10K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 61% of everything it billed.
33Billing provider infoBARRY L FALLESEN
GRIDLEY, CA 95948
GRIDLEY, CA 95948
33aNPI1811224223assigned 11/05/2009
33bProvider typeOptometrist
28Total paid$10K
24GClaims553
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,175 of 1,899
Median peer was paid$23K
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 | |
|---|---|---|---|
| 2018 | 148 | $3K | |
| 2019 | 346 | $6K | |
| 2020 | 59 | $751.31 |
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 | 61% | 165 | 160 | $6K |
| 92015 | Determination of refractive state | 23% | 309 | 304 | $2K |
| V2020 | Frames, purchases | 8.0% | 40 | 40 | $767.20 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.9% | 39 | 39 | $756.21 |
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.
From NPPES
Who's on the registration
Authorized officialFALLESEN, BARRY (OPTOMETRIST)