Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Smicker, Timothy

Smicker, Timothy was paid $56K by Medicaid between Oct 2020 and Jun 2024, across 8 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 73% of everything it billed.

33Billing provider infoSMICKER, TIMOTHY
BUTLER, PA 16001
33aNPI1952472433assigned 11/13/2006
33bProvider typeOptometrist
28Total paid$56K
24GClaims2,142
24DCodes billed8
24AFirst – last monthOct 2020 – Jun 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#328 of 983
Median peer was paid$20K
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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202059$2K
2021473$14K
2022485$13K
2023928$20K
2024incomplete197$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 73% 1,375 1,286 $41K
V2020 Frames, purchases 11% 87 79 $6K
S0620 Routine ophthalmological examination including refraction; new patient 10% 192 186 $6K
92310 4.7% 82 54 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 15 13 $338.60
92250 0% 53 27 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 0% 37 29 $0.00
92015 Determination of refractive state 0% 301 226 $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.