Mcpheron, Robert
Mcpheron, Robert was paid $260K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 33% of everything it billed.
33Billing provider infoMCPHERON, ROBERT
NEW LONDON, IA 52645
NEW LONDON, IA 52645
33aNPI1972589505assigned 12/15/2005
33bProvider typeOptometrist
28Total paid$260K
24GClaims5,617
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#41 of 521
Median peer was paid$28K
This provider vs. median9.2×
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 | 888 | $33K | |
| 2019 | 864 | $33K | |
| 2020 | 693 | $31K | |
| 2021 | 872 | $46K | |
| 2022 | 894 | $45K | |
| 2023 | 857 | $42K | |
| 2024incomplete | 549 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 33% | 1,107 | 1,088 | $87K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 637 | 634 | $52K |
| V2020 | Frames, purchases | 16% | 1,651 | 1,626 | $42K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 16% | 922 | 888 | $41K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.0% | 750 | 743 | $18K |
| 92002 | 4.5% | 215 | 211 | $12K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.5% | 106 | 102 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 77 | 76 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 136 | 135 | $177.44 |
| 3072F | 0% | 16 | 16 | $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.