Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Thomas, Abby

Thomas, Abby was paid $100K by Medicaid between Jan 2018 and Feb 2024, across 6 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 48% of everything it billed.

33Billing provider infoTHOMAS, ABBY
WINTERSET, IA 50273
33aNPI1841302320assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$100K
24GClaims2,681
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Optometrist providers in Iowa

Rank by total paid#121 of 521
Median peer was paid$28K
This provider vs. median3.5×

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$4.0K$6.0K2018201920202021202220232024
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
2018495$24K
2019629$26K
2020463$17K
2021393$12K
2022376$11K
2023233$5K
2024incomplete92$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 48% 522 506 $48K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 391 360 $23K
V2020 Frames, purchases 16% 773 673 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 144 133 $12K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.3% 69 66 $1K
92015 Determination of refractive state 0% 782 774 $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.