Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Spencer, Patrick

Spencer, Patrick was paid $85K by Medicaid between Jan 2018 and Mar 2021, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoSPENCER, PATRICK
DAYTON, OH 45405
33aNPI1861494304assigned 08/15/2005
33bProvider typeOphthalmology Physician
28Total paid$85K
24GClaims1,967
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Ophthalmology Physician providers in Ohio

Rank by total paid#38 of 155
Median peer was paid$10K
This provider vs. median8.2×

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
2018834$35K
2019889$39K
2020202$9K
202142$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 38% 475 472 $33K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29% 271 267 $25K
92015 Determination of refractive state 11% 449 444 $10K
92083 11% 334 326 $9K
92340 Fitting of spectacles, except for aphakia; monofocal 6.0% 236 229 $5K
92133 3.3% 177 171 $3K
92341 <1% 25 25 $724.20

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.