Spencer, Jean

Spencer, Jean was paid $107K by Medicaid between Jan 2018 and Apr 2019, across 12 billing codes. Its largest line is 92226, — 37% of everything it billed.

33Billing provider infoSPENCER, JEAN
WEST DES MOINES, IA 50266

33aNPI1902801020assigned 06/15/2005

33bProvider typeOphthalmology Physician

28Total paid$107K

24GClaims3,291

24DCodes billed12

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Ophthalmology Physician providers in Iowa

Rank by total paid#5 of 40

Median peer was paid$4K

This provider vs. median30×

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	2,447	$79K
2019	844	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92226		37%	1,156	319	$39K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	338	169	$15K
92225		11%	346	166	$12K
92060		9.9%	242	230	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.9%	245	231	$7K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	6.1%	191	183	$7K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.7%	157	152	$6K
92015	Determination of refractive state	5.6%	541	526	$6K
99222	Initial hospital care, per day, moderate complexity	2.2%	24	24	$2K
99221		<1%	12	12	$649.60
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	26	13	$497.40
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	12	$243.60

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.