Poole, Benjamin
Poole, Benjamin was paid $92K by Medicaid between Feb 2018 and Oct 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoPOOLE, BENJAMIN
CLOVER, SC 29710
CLOVER, SC 29710
33aNPI1871550897assigned 04/26/2006
33bProvider typeOptometrist
28Total paid$92K
24GClaims3,648
24DCodes billed11
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#124 of 425
Median peer was paid$22K
This provider vs. median4.2×
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
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 | 460 | $11K | |
| 2019 | 925 | $23K | |
| 2020 | 488 | $12K | |
| 2021 | 519 | $12K | |
| 2022 | 576 | $15K | |
| 2023 | 477 | $13K | |
| 2024incomplete | 203 | $5K |
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 | 33% | 458 | 456 | $30K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 870 | 864 | $17K |
| 92015 | Determination of refractive state | 13% | 1,109 | 1,104 | $12K |
| V2020 | Frames, purchases | 9.1% | 338 | 334 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.4% | 111 | 111 | $8K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 8.0% | 93 | 90 | $7K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.6% | 33 | 33 | $3K |
| 92370 | 3.1% | 422 | 422 | $3K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.6% | 41 | 37 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.5% | 122 | 121 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 51 | 51 | $590.10 |
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.