Raley, James
Raley, James was paid $424K by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 68% of everything it billed.
33Billing provider infoRALEY, JAMES
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
33aNPI1902961089assigned 12/27/2006
33bProvider typeOptometrist
28Total paid$424K
24GClaims5,272
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#125 of 683
Median peer was paid$123K
This provider vs. median3.5×
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 | 901 | $75K | |
| 2019 | 755 | $60K | |
| 2020 | 574 | $43K | |
| 2021 | 718 | $56K | |
| 2022 | 658 | $54K | |
| 2023 | 828 | $69K | |
| 2024incomplete | 838 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 68% | 3,253 | 3,150 | $290K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 2,019 | 1,963 | $135K |
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.