1033510300

1033510300 was paid $33K by Medicaid between Dec 2018 and Jun 2019, across 14 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 36% of everything it billed.

33Billing provider info1033510300

33aNPI1033510300

33bProvider type—

28Total paid$33K

24GClaims3,256

24DCodes billed14

24AFirst – last monthDec 2018 – Jun 2019

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	142	$3K
2019	3,114	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92340	Fitting of spectacles, except for aphakia; monofocal	36%	648	604	$12K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	30%	371	366	$10K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	19%	223	219	$6K
92341		9.4%	160	152	$3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2.8%	138	87	$904.62
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2.4%	90	55	$777.44
V2020	Frames, purchases	<1%	806	749	$186.20
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	20	14	$107.18
V2756	Eye glass case	0%	90	90	$0.00
92342		0%	90	90	$0.00
2019F		0%	129	129	$0.00
G0117	Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist	0%	130	130	$0.00

2 more codes

92015	Determination of refractive state	0%	341	$0.00
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	0%	20	$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.