Musselman, John
Musselman, John was paid $552K by Medicaid between Jan 2018 and Jan 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoMUSSELMAN, JOHN
METAIRIE, LA 70003
METAIRIE, LA 70003
33aNPI1952327801assigned 07/14/2006
33bProvider typeOptometrist
28Total paid$552K
24GClaims21,135
24DCodes billed12
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#104 of 442
Median peer was paid$199K
This provider vs. median2.8×
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 | 3,976 | $101K | |
| 2019 | 4,352 | $106K | |
| 2020 | 4,026 | $101K | |
| 2021 | 3,450 | $99K | |
| 2022 | 3,013 | $84K | |
| 2023 | 2,248 | $59K | |
| 2024incomplete | 70 | $702.43 |
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 | 36% | 2,320 | 2,200 | $198K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 33% | 2,596 | 2,463 | $182K |
| V2020 | Frames, purchases | 12% | 4,262 | 4,025 | $68K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.5% | 2,812 | 2,625 | $47K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.8% | 3,416 | 3,251 | $43K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.0% | 454 | 433 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 363 | 347 | $4K |
| V2799 | Vision item or service, miscellaneous | <1% | 112 | 112 | $2K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 71 | 66 | $1K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 52 | 48 | $698.90 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | 13 | $681.80 |
| 92015 | Determination of refractive state | 0% | 4,664 | 4,386 | $0.00 |
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.