Thomas, Durward
Thomas, Durward was paid $266K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92002, — 41% of everything it billed.
33Billing provider infoTHOMAS, DURWARD
COUSHATTA, LA 71019
COUSHATTA, LA 71019
33aNPI1891763207assigned 03/10/2006
33bProvider typeOptometrist
28Total paid$266K
24GClaims8,772
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#184 of 442
Median peer was paid$199K
This provider vs. median1.3×
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 | 1,479 | $48K | |
| 2019 | 1,883 | $51K | |
| 2020 | 1,337 | $37K | |
| 2021 | 1,332 | $38K | |
| 2022 | 991 | $36K | |
| 2023 | 952 | $34K | |
| 2024incomplete | 798 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 41% | 2,517 | 2,430 | $109K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 22% | 1,337 | 1,243 | $58K |
| V2020 | Frames, purchases | 15% | 2,178 | 2,082 | $40K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.6% | 367 | 354 | $26K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.1% | 818 | 783 | $19K |
| 92015 | Determination of refractive state | 2.1% | 772 | 766 | $6K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 36 | 36 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 36 | 36 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 80 | 79 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 197 | 196 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 47 | 42 | $570.78 |
| 3072F | <1% | 387 | 367 | $20.00 |
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.