Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mckay, James

Mckay, James was paid $17K by Medicaid between Sep 2022 and May 2024, across 1 billing code. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 100% of everything it billed.

33Billing provider infoMCKAY, JAMES
SOMERSET, PA 15501
33aNPI1912967001assigned 03/24/2006
33bProvider typeOptometrist
28Total paid$17K
24GClaims583
24DCodes billed1
24AFirst – last monthSep 2022 – May 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#515 of 983
Median peer was paid$20K
This provider vs. median0.9×

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$500$1.0K$1.5K2018201920202021202220232024
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
2022114$3K
2023319$10K
2024incomplete150$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 100% 583 583 $17K

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.