Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Upshaw, Bradley

Upshaw, Bradley was paid $34K by Medicaid between Jan 2018 and Sep 2021, across 9 billing codes. Its largest line is V2020, Frames, purchases — 29% of everything it billed.

33Billing provider infoUPSHAW, BRADLEY
RODEO, CA 94572
33aNPI1992731335assigned 06/25/2006
33bProvider typeOptometrist
28Total paid$34K
24GClaims2,499
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#830 of 1,899
Median peer was paid$23K
This provider vs. median1.5×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018584$4K
2019470$3K
2020632$11K
2021813$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 29% 476 472 $10K
92015 Determination of refractive state 21% 896 896 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20% 184 184 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 16% 265 264 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 87 87 $4K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 1.3% 24 24 $454.91
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 344 337 $0.00
1036F 0% 189 185 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 34 32 $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.