1033211263

1033211263 was paid $62K by Medicaid between Feb 2019 and Jul 2020, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 52% of everything it billed.

33Billing provider info1033211263

33aNPI1033211263

33bProvider type—

28Total paid$62K

24GClaims3,467

24DCodes billed11

24AFirst – last monthFeb 2019 – Jul 2020

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
2019	2,384	$41K
2020	1,083	$21K

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	52%	299	295	$32K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	47%	291	290	$29K
92015	Determination of refractive state	1.1%	637	632	$685.00
V2020	Frames, purchases	<1%	576	572	$240.00
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	450	381	$35.00
92340	Fitting of spectacles, except for aphakia; monofocal	0%	491	489	$0.00
G0117	Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist	0%	137	137	$0.00
92341		0%	12	12	$0.00
V2755	U-v lens, per lens	0%	288	284	$0.00
92342		0%	143	143	$0.00
V2756	Eye glass case	0%	143	143	$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.