Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Demarco, Nicole

Demarco, Nicole was paid $27K by Medicaid between Mar 2022 and Nov 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 72% of everything it billed.

33Billing provider infoDEMARCO, NICOLE
BREWSTER, WA 98812
33aNPI1023633278assigned 06/13/2020
33bProvider typeOptometrist
28Total paid$27K
24GClaims2,708
24DCodes billed4
24AFirst – last monthMar 2022 – Nov 2024
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#268 of 565
Median peer was paid$23K
This provider vs. median1.2×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2022886$21K
2023982$3K
2024incomplete840$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 72% 745 745 $19K
92340 Fitting of spectacles, except for aphakia; monofocal 14% 609 601 $4K
92015 Determination of refractive state 12% 1,110 1,105 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.0% 244 244 $806.00

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.