Gustafson, Terry
Gustafson, Terry was paid $309K by Medicaid between Jan 2018 and Sep 2023, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.
33Billing provider infoGUSTAFSON, TERRY
SPANAWAY, WA 98387
SPANAWAY, WA 98387
33aNPI1932197407assigned 10/10/2005
33bProvider typeOptometrist
28Total paid$309K
24GClaims8,895
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#65 of 565
Median peer was paid$23K
This provider vs. median13×
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 | 1,868 | $67K | |
| 2019 | 1,715 | $59K | |
| 2020 | 1,281 | $45K | |
| 2021 | 1,764 | $65K | |
| 2022 | 1,366 | $53K | |
| 2023 | 901 | $19K |
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 | 50% | 2,019 | 2,010 | $153K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 1,118 | 1,112 | $72K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 1,817 | 1,781 | $34K |
| 92015 | Determination of refractive state | 10% | 3,140 | 3,121 | $32K |
| 92341 | 5.7% | 801 | 781 | $18K |
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.