Borgholthaus, Scott
Borgholthaus, Scott was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 64% of everything it billed.
33Billing provider infoBORGHOLTHAUS, SCOTT
CHENEY, WA 99004
CHENEY, WA 99004
33aNPI1942388236assigned 11/02/2006
33bProvider typeOptometrist
28Total paid$118K
24GClaims4,100
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#136 of 565
Median peer was paid$23K
This provider vs. median5.1×
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 | 537 | $17K | |
| 2019 | 604 | $19K | |
| 2020 | 520 | $17K | |
| 2021 | 652 | $22K | |
| 2022 | 595 | $19K | |
| 2023 | 728 | $16K | |
| 2024incomplete | 464 | $7K |
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 | 64% | 1,150 | 1,137 | $76K |
| 92015 | Determination of refractive state | 15% | 2,075 | 2,049 | $18K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 296 | 295 | $15K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.8% | 579 | 533 | $9K |
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.