Kover, James
Kover, James was paid $127K by Medicaid between Feb 2020 and Feb 2024, across 10 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 30% of everything it billed.
33Billing provider infoKOVER, JAMES
MIDDLEFIELD, OH 44062
MIDDLEFIELD, OH 44062
33aNPI1871504829assigned 08/11/2006
33bProvider typeOptometrist
28Total paid$127K
24GClaims6,471
24DCodes billed10
24AFirst – last monthFeb 2020 – Feb 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#264 of 1,098
Median peer was paid$41K
This provider vs. median3.1×
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
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 | |
|---|---|---|---|
| 2020 | 1,663 | $32K | |
| 2021 | 2,067 | $41K | |
| 2022 | 1,798 | $35K | |
| 2023 | 877 | $18K | |
| 2024incomplete | 66 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 30% | 885 | 873 | $38K |
| 92002 | 22% | 665 | 657 | $28K | |
| V2020 | Frames, purchases | 20% | 1,562 | 1,535 | $25K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 18% | 917 | 907 | $23K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.3% | 624 | 617 | $7K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.2% | 134 | 134 | $4K |
| 92015 | Determination of refractive state | 1.3% | 1,595 | 1,575 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.2% | 39 | 39 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $298.56 |
| 92250 | 0% | 38 | 38 | $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.