Downer, John
Downer, John was paid $201K by Medicaid between Aug 2018 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoDOWNER, JOHN
BEAVERCREEK, OH 45434
BEAVERCREEK, OH 45434
33aNPI1922062769assigned 04/17/2006
33bProvider typeOptometrist
28Total paid$201K
24GClaims9,821
24DCodes billed9
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#173 of 1,098
Median peer was paid$41K
This provider vs. median4.9×
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
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 | 119 | $304.78 | |
| 2019 | 129 | $587.79 | |
| 2020 | 1,673 | $40K | |
| 2021 | 3,426 | $83K | |
| 2022 | 1,728 | $39K | |
| 2023 | 1,162 | $10K | |
| 2024incomplete | 1,584 | $30K |
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 | 41% | 1,616 | 1,611 | $82K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 718 | 712 | $33K |
| V2020 | Frames, purchases | 16% | 2,452 | 2,397 | $32K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14% | 1,211 | 1,185 | $28K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.4% | 1,360 | 1,316 | $13K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.0% | 164 | 162 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.2% | 480 | 472 | $4K |
| 92015 | Determination of refractive state | <1% | 1,779 | 1,775 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 41 | 41 | $892.57 |
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.