Pelton, Charles
Pelton, Charles was paid $648.44 by Medicaid between Mar 2018 and Mar 2018, across 1 billing code. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 100% of everything it billed.
33Billing provider infoPELTON, CHARLES
DE SOTO, MO 63020
DE SOTO, MO 63020
33aNPI1962767665assigned 07/09/2012
33bProvider typeOptometrist
28Total paid$648.44
24GClaims13
24DCodes billed1
24AFirst – last monthMar 2018 – Mar 2018
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#498 of 547
Median peer was paid$19K
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 | 13 | $648.44 |
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 | 100% | 13 | 13 | $648.44 |
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.