Monroe, Leighan
Monroe, Leighan was paid $391K by Medicaid between Jan 2018 and Apr 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoMONROE, LEIGHAN
OREGON, OH 43616
OREGON, OH 43616
33aNPI1972525475assigned 07/24/2006
33bProvider typeOptometrist
28Total paid$391K
24GClaims17,763
24DCodes billed19
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#90 of 1,098
Median peer was paid$41K
This provider vs. median9.5×
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 | 5,296 | $120K | |
| 2019 | 2,861 | $83K | |
| 2020 | 2,609 | $69K | |
| 2021 | 2,884 | $46K | |
| 2022 | 3,759 | $68K | |
| 2023 | 255 | $3K | |
| 2024incomplete | 99 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 2,347 | 2,335 | $106K |
| 92015 | Determination of refractive state | 16% | 3,072 | 3,050 | $64K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 873 | 865 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,297 | 1,212 | $56K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 2,171 | 2,124 | $46K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.9% | 470 | 468 | $23K |
| 92250 | 5.3% | 638 | 636 | $21K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 89 | 86 | $8K |
| 92083 | 1.2% | 178 | 175 | $5K | |
| 92133 | <1% | 100 | 100 | $2K | |
| 92341 | <1% | 39 | 38 | $1K | |
| 83861 | <1% | 53 | 26 | $798.09 |
7 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 362 | $528.00 |
| V2020 | Frames, purchases | <1% | 2,207 | $527.00 |
| 83516 | <1% | 26 | $277.68 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,375 | $145.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 1,441 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 13 | $0.00 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 0% | 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.