Campbell, James
Campbell, James was paid $40K by Medicaid between Jan 2018 and Jan 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 77% of everything it billed.
33Billing provider infoCAMPBELL, JAMES
NEW MARTINSVILLE, WV 26155
NEW MARTINSVILLE, WV 26155
33aNPI1881757565assigned 12/18/2006
33bProvider typeOptometrist
28Total paid$40K
24GClaims728
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Optometrist providers in West Virginia
Rank by total paid#71 of 115
Median peer was paid$82K
This provider vs. median0.5×
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 | 88 | $5K | |
| 2019 | 81 | $3K | |
| 2020 | 346 | $18K | |
| 2021 | 131 | $8K | |
| 2022 | 51 | $3K | |
| 2023 | 18 | $1K | |
| 2024incomplete | 13 | $1K |
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 | 77% | 420 | 411 | $31K |
| V2020 | Frames, purchases | 8.7% | 52 | 52 | $4K |
| 92015 | Determination of refractive state | 8.2% | 206 | 201 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 13 | 13 | $1K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1.7% | 25 | 25 | $672.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.1% | 12 | 12 | $426.90 |
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.