Mcdowell, James
Mcdowell, James was paid $172K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoMCDOWELL, JAMES
KERSHAW, SC 29067
KERSHAW, SC 29067
33aNPI1851447932assigned 01/25/2007
33bProvider typeOptometrist
28Total paid$172K
24GClaims7,088
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#84 of 425
Median peer was paid$22K
This provider vs. median7.9×
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 | 1,081 | $27K | |
| 2019 | 1,000 | $26K | |
| 2020 | 1,115 | $28K | |
| 2021 | 1,211 | $29K | |
| 2022 | 1,096 | $26K | |
| 2023 | 923 | $23K | |
| 2024incomplete | 662 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 44% | 1,555 | 1,547 | $75K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 1,659 | 1,651 | $30K |
| 92015 | Determination of refractive state | 18% | 2,294 | 2,285 | $30K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 324 | 323 | $20K |
| V2020 | Frames, purchases | 6.4% | 634 | 629 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.8% | 501 | 454 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 109 | 101 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | 12 | $446.72 |
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.