Theroux, Monica
Theroux, Monica was paid $20K by Medicaid between Jul 2022 and Jun 2024, across 4 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 88% of everything it billed.
33Billing provider infoTHEROUX, MONICA
UNIONTOWN, PA 15401
UNIONTOWN, PA 15401
33aNPI1023627031assigned 07/26/2020
33bProvider typeOptometrist
28Total paid$20K
24GClaims644
24DCodes billed4
24AFirst – last monthJul 2022 – Jun 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#490 of 983
Median peer was paid$20K
This provider vs. median1.0×
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
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 | |
|---|---|---|---|
| 2022 | 187 | $6K | |
| 2023 | 312 | $9K | |
| 2024incomplete | 145 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 88% | 595 | 594 | $18K |
| V2020 | Frames, purchases | 8.1% | 24 | 24 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 13 | 13 | $419.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.8% | 12 | 12 | $360.00 |
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.