Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pradillo, Alan

Pradillo, Alan was paid $403K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.

33Billing provider infoPRADILLO, ALAN
HAMMOND, LA 70403
33aNPI1831209311assigned 08/30/2006
33bProvider typeOptometrist
28Total paid$403K
24GClaims17,097
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Louisiana

Rank by total paid#137 of 442
Median peer was paid$199K
This provider vs. median2.0×

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$5.0K$10K$15K2018201920202021202220232024
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
20184,760$128K
20192,929$67K
20202,112$47K
20212,206$48K
20222,192$48K
20231,531$36K
2024incomplete1,367$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 43% 2,465 2,316 $171K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17% 794 748 $69K
V2020 Frames, purchases 15% 3,934 3,660 $59K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10% 3,248 3,081 $41K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 10% 2,446 2,291 $41K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3.6% 891 847 $15K
92340 Fitting of spectacles, except for aphakia; monofocal 1.4% 473 459 $6K
92015 Determination of refractive state <1% 2,832 2,563 $813.20
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 14 12 $135.10

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.