Felstet, Tom
Felstet, Tom was paid $557K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.
33Billing provider infoFELSTET, TOM
BILLINGS, MT 59102
BILLINGS, MT 59102
33aNPI1992727903assigned 07/25/2006
33bProvider typeOptometrist
28Total paid$557K
24GClaims9,338
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#17 of 113
Median peer was paid$95K
This provider vs. median5.9×
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 | 608 | $40K | |
| 2019 | 929 | $56K | |
| 2020 | 1,070 | $69K | |
| 2021 | 1,387 | $93K | |
| 2022 | 1,311 | $87K | |
| 2023 | 1,854 | $88K | |
| 2024incomplete | 2,179 | $124K |
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 | 56% | 2,859 | 2,615 | $310K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 1,385 | 1,290 | $132K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 3,336 | 3,027 | $86K |
| 92015 | Determination of refractive state | 4.5% | 1,640 | 1,571 | $25K |
| 92341 | <1% | 106 | 101 | $3K | |
| 92002 | <1% | 12 | 12 | $856.76 |
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.