Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Falkenhain, David

Falkenhain, David was paid $27K by Medicaid between Feb 2018 and Jun 2023, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.

33Billing provider infoFALKENHAIN, DAVID
ROLLA, MO 65401
33aNPI1992724702assigned 07/19/2006
33bProvider typeOptometrist
28Total paid$27K
24GClaims1,132
24DCodes billed4
24AFirst – last monthFeb 2018 – Jun 2023
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#232 of 547
Median peer was paid$19K
This provider vs. median1.4×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018356$9K
2019543$12K
2020192$4K
202113$226.60
202328$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 40% 273 262 $11K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 31% 367 172 $8K
V2020 Frames, purchases 29% 478 449 $8K
92015 Determination of refractive state <1% 14 12 $56.76

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.