Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Moore, Janis

Moore, Janis was paid $2K by Medicaid between Jan 2018 and Apr 2019, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 26% of everything it billed.

33Billing provider infoMOORE, JANIS
SAN CARLOS, CA 94070
33aNPI1851592869assigned 05/29/2007
33bProvider typeOptometrist
28Total paid$2K
24GClaims1,054
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#1,438 of 1,899
Median peer was paid$23K
This provider vs. median0.1×

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$200$400$6002018201920202021202220232024
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
2018896$2K
2019158$307.59
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 26% 263 263 $528.58
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 132 132 $461.50
92340 Fitting of spectacles, except for aphakia; monofocal 19% 169 168 $382.95
92015 Determination of refractive state 17% 341 341 $338.87
V2020 Frames, purchases 16% 149 149 $326.06

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.