DR Claffie and Associates
DR Claffie and Associates was paid $850.59 by Medicaid between Jul 2022 and May 2023, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 100% of everything it billed.
33Billing provider infoDR CLAFFIE AND ASSOCIATES
FLORENCE, KY 41042
FLORENCE, KY 41042
33aNPI1063810299assigned 12/22/2014
33bProvider typeOptometrist
28Total paid$850.59
24GClaims96
24DCodes billed3
24AFirst – last monthJul 2022 – May 2023
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#663 of 683
Median peer was paid$123K
This provider vs. median0.0×
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 | 23 | $0.00 | |
| 2023 | 73 | $850.59 |
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 | 100% | 15 | 14 | $850.59 |
| 92015 | Determination of refractive state | 0% | 54 | 42 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 27 | 27 | $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.
From NPPES
Who's on the registration
Authorized officialCLAFFIE, SEAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DR Claffie and Associates | Monroe, OH | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.