Upton, Donald
Upton, Donald was paid $1K by Medicaid between Jan 2018 and Sep 2018, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 60% of everything it billed.
33Billing provider infoUPTON, DONALD
COLUMBUS, MS 39702
COLUMBUS, MS 39702
33aNPI1962545608assigned 02/14/2007
33bProvider typeOptometrist
28Total paid$1K
24GClaims1,233
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#412 of 437
Median peer was paid$91K
This provider vs. median0.0×
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 | 1,233 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 60% | 220 | 219 | $797.64 |
| V2020 | Frames, purchases | 32% | 299 | 295 | $420.57 |
| 92015 | Determination of refractive state | 8.4% | 292 | 291 | $111.15 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 235 | 233 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 174 | 173 | $0.00 |
| 92002 | 0% | 13 | 12 | $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.