Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Graham, Tiffany

Graham, Tiffany was paid $86K by Medicaid between Aug 2020 and Nov 2024, across 11 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 23% of everything it billed.

33Billing provider infoGRAHAM, TIFFANY
WARWICK, RI 02886
33aNPI1043704794assigned 06/17/2018
33bProvider typeOptometrist
28Total paid$86K
24GClaims2,642
24DCodes billed11
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Rhode Island

Rank by total paid#52 of 209
Median peer was paid$24K
This provider vs. median3.6×

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$10K$20K$30K2018201920202021202220232024
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
202045$562.95
202130$375.30
202314$1K
2024incomplete2,553$84K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 23% 424 195 $20K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 19% 353 152 $16K
S0620 Routine ophthalmological examination including refraction; new patient 19% 251 124 $16K
V2020 Frames, purchases 15% 633 295 $13K
92340 Fitting of spectacles, except for aphakia; monofocal 9.7% 462 209 $8K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 5.6% 302 125 $5K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.8% 62 25 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.8% 42 13 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.2% 14 14 $1K
92015 Determination of refractive state 1.1% 75 75 $938.25
92341 <1% 24 12 $480.00

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.