Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dubois, John

Dubois, John was paid $98K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.

33Billing provider infoDUBOIS, JOHN
CORNISH, ME 04020
33aNPI1831171206assigned 11/18/2005
33bProvider typeOptometrist
28Total paid$98K
24GClaims2,103
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Maine

Rank by total paid#41 of 94
Median peer was paid$70K
This provider vs. median1.4×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018133$4K
2019156$4K
2020220$8K
2021341$14K
2022427$21K
2023413$25K
2024incomplete413$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 52% 784 765 $51K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 33% 445 432 $32K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 740 729 $13K
92015 Determination of refractive state 1.2% 122 122 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 12 12 $734.16

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.