Winters, Benjamin
Winters, Benjamin was paid $330K by Medicaid between Jan 2018 and Jan 2020, across 9 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 46% of everything it billed.
33Billing provider infoWINTERS, BENJAMIN
UNION GAP, WA 98903
UNION GAP, WA 98903
33aNPI1932344868assigned 12/05/2008
33bProvider typeOptometrist
28Total paid$330K
24GClaims7,076
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#59 of 565
Median peer was paid$23K
This provider vs. median14×
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 | 4,325 | $204K | |
| 2019 | 2,692 | $124K | |
| 2020 | 59 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 46% | 2,407 | 778 | $153K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 14% | 1,668 | 699 | $45K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 426 | 425 | $37K |
| 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 | 9.0% | 357 | 346 | $30K |
| 92060 | 7.5% | 653 | 640 | $25K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 364 | 341 | $22K |
| 92015 | Determination of refractive state | 4.0% | 1,144 | 1,130 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 44 | 43 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | 13 | $965.12 |
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.