Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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S. Glenn Bailey O.D., INC.

S. Glenn Bailey O.D., INC. was paid $2.11M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.

33Billing provider infoS. GLENN BAILEY O.D., INC.
BARBOURSVILLE, WV 25504
33aNPI1831236827assigned 01/31/2007
33bProvider typeOptometrist
28Total paid$2.11M
24GClaims51,565
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in West Virginia

Rank by total paid#2 of 115
Median peer was paid$82K
This provider vs. median26×

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$25K$50K$75K2018201920202021202220232024
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
20189,088$363K
20196,369$186K
20206,417$243K
20216,489$298K
20227,742$350K
20238,057$337K
2024incomplete7,403$332K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26% 6,796 6,562 $542K
V2020 Frames, purchases 22% 7,381 7,181 $467K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17% 3,887 3,738 $367K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 10.0% 7,675 6,192 $211K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8.6% 5,516 4,564 $182K
92015 Determination of refractive state 7.5% 9,690 9,389 $159K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.1% 1,520 1,335 $43K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.7% 536 449 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 591 499 $31K
92250 1.4% 1,091 1,005 $30K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 484 448 $14K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 398 326 $9K
10 more codes
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens <1% 41 $5K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 1,533 $5K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 1,697 $3K
1036F <1% 1,694 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 34 $1K
99204 Doctor's office visit, new patient (more involved) <1% 12 $1K
92133 <1% 50 $1K
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 843 $821.65
G8785 Blood pressure reading not documented, reason not given 0% 83 $0.00
G9905 Patient not screened for tobacco use 0% 13 $0.00

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 officialBAILEY, STEPHEN (PRESIDENT)