Hall, Roger
Hall, Roger was paid $620K by Medicaid between Jan 2018 and Jun 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 47% of everything it billed.
33Billing provider infoHALL, ROGER
EVERETT, WA 98208
EVERETT, WA 98208
33aNPI1932271921assigned 11/14/2006
33bProvider typeOptometrist
28Total paid$620K
24GClaims18,531
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#26 of 565
Median peer was paid$23K
This provider vs. median27×
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 | 2,629 | $96K | |
| 2019 | 3,005 | $108K | |
| 2020 | 2,219 | $79K | |
| 2021 | 4,105 | $142K | |
| 2022 | 3,036 | $113K | |
| 2023 | 2,859 | $71K | |
| 2024incomplete | 678 | $11K |
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 | 47% | 3,917 | 3,881 | $293K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 2,150 | 2,142 | $140K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 3,463 | 3,387 | $64K |
| 92015 | Determination of refractive state | 10% | 7,081 | 6,832 | $63K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 680 | 536 | $28K |
| 92250 | 2.2% | 539 | 526 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 84 | 84 | $8K |
| V2020 | Frames, purchases | <1% | 249 | 245 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 37 | 36 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 72 | 71 | $2K |
| 92370 | <1% | 108 | 106 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $840.38 |
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.