Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Poole, Brian

Poole, Brian was paid $65K by Medicaid between Apr 2018 and Apr 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.

33Billing provider infoPOOLE, BRIAN
EASLEY, SC 29640
33aNPI1871517805assigned 07/26/2006
33bProvider typeOptometrist
28Total paid$65K
24GClaims1,951
24DCodes billed7
24AFirst – last monthApr 2018 – Apr 2024
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#147 of 425
Median peer was paid$22K
This provider vs. median3.0×

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$5.0K$10K$15K2018201920202021202220232024
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
2018157$4K
202126$1K
2022738$25K
2023968$35K
2024incomplete62$647.18
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 48% 422 417 $31K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16% 136 136 $11K
92340 Fitting of spectacles, except for aphakia; monofocal 15% 500 496 $10K
92015 Determination of refractive state 13% 727 724 $9K
V2784 Lens, polycarbonate or equal, any index, per lens 4.0% 105 105 $3K
V2020 Frames, purchases 3.5% 45 45 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 16 16 $184.96

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.