Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Optimum Healthcare Associates, PA

Optimum Healthcare Associates, PA was paid $25K by Medicaid between Feb 2019 and Nov 2024, across 8 billing codes. Its largest line is 99050, — 33% of everything it billed.

33Billing provider infoOPTIMUM HEALTHCARE ASSOCIATES, PA
JACKSON, MS 39206
33aNPI1891233276assigned 02/06/2017
28Total paid$25K
24GClaims1,403
24DCodes billed8
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers

Next to other Pediatric Nurse Practitioner providers in Mississippi

Rank by total paid#9 of 13
Median peer was paid$57K
This provider vs. median0.4×

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$2.0K$4.0K2018201920202021202220232024
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
2019552$9K
2020264$3K
2021144$3K
202258$756.00
2023126$2K
2024incomplete259$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99050 33% 717 527 $8K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32% 95 87 $8K
99384 30% 72 71 $8K
92551 4.0% 148 143 $1K
99173 <1% 132 127 $118.23
96160 <1% 59 56 $117.88
81002 <1% 109 106 $11.60
85018 0% 71 71 $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.

From NPPES

Who's on the registration

Authorized officialWILSON-SIMPSON, FELISA (OWNER/CEO/NP)