Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Merlin, James

Merlin, James was paid $251.53 by Medicaid between Jan 2018 and Jan 2018, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.

33Billing provider infoMERLIN, JAMES
GREENFIELD, MA 01301
33aNPI1972601912assigned 09/21/2006
33bProvider typeOptometrist
28Total paid$251.53
24GClaims20
24DCodes billed1
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers

Next to other Optometrist providers in Massachusetts

Rank by total paid#579 of 629
Median peer was paid$15K
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

$0$100$200$3002018201920202021202220232024
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
201820$251.53
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 100% 20 20 $251.53

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.