Nelson, James
Nelson, James was paid $84K by Medicaid between Jan 2018 and Mar 2020, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoNELSON, JAMES
MUSKOGEE, OK 74403
MUSKOGEE, OK 74403
33aNPI1912948175assigned 06/09/2006
33bProvider typeOptometrist
28Total paid$84K
24GClaims2,307
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Oklahoma
Rank by total paid#191 of 336
Median peer was paid$113K
This provider vs. median0.7×
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 | 892 | $34K | |
| 2019 | 1,228 | $44K | |
| 2020 | 187 | $6K |
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 | 33% | 257 | 257 | $27K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 148 | 148 | $19K |
| 92015 | Determination of refractive state | 12% | 579 | 579 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 332 | 332 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 353 | 351 | $10K |
| V2020 | Frames, purchases | 5.0% | 416 | 415 | $4K |
| 92082 | 3.0% | 77 | 77 | $2K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.4% | 46 | 46 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 99 | 99 | $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.