Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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John M. Price Od, INC.

John M. Price Od, INC. was paid $705K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is V2020, Frames, purchases — 23% of everything it billed.

33Billing provider infoJOHN M. PRICE OD, INC.
SAINT MARYS, OH 45885
33aNPI1871677427assigned 10/24/2006
33bProvider typeOptometrist
28Total paid$705K
24GClaims21,024
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#45 of 1,098
Median peer was paid$41K
This provider vs. median17×

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$10K$20K2018201920202021202220232024
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
20182,346$72K
20192,453$77K
20202,127$74K
20212,929$103K
20223,174$112K
20234,772$154K
2024incomplete3,223$114K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 23% 3,937 3,751 $161K
V2784 Lens, polycarbonate or equal, any index, per lens 19% 3,653 3,504 $132K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16% 2,217 2,143 $114K
92340 Fitting of spectacles, except for aphakia; monofocal 11% 3,257 3,087 $79K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11% 1,565 1,514 $78K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 9.4% 1,698 1,597 $66K
92015 Determination of refractive state 7.9% 4,079 3,746 $56K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.5% 537 509 $17K
92341 <1% 81 78 $2K

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.

From NPPES

Who's on the registration

Authorized officialGINTER, KELLY (OFFICE MANAGER)