Clinic
Spadafora Eye Care PLLC
Spadafora Eye Care PLLC was paid $10K by Medicaid between Feb 2022 and Nov 2024, across 8 billing codes. Its largest line is 92250, — 29% of everything it billed.
33Billing provider infoSPADAFORA EYE CARE PLLC
CLARKSTON, MI 48346
CLARKSTON, MI 48346
33aNPI1073130035assigned 06/25/2020
33bProvider typeMedical Specialty Clinic/Center
28Total paid$10K
24GClaims595
24DCodes billed8
24AFirst – last monthFeb 2022 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Michigan
Rank by total paid#26 of 34
Median peer was paid$45K
This provider vs. median0.2×
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
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 | 163 | $3K | |
| 2023 | 99 | $2K | |
| 2024incomplete | 333 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 29% | 160 | 153 | $3K | |
| V2020 | Frames, purchases | 23% | 112 | 108 | $2K |
| 92015 | Determination of refractive state | 20% | 218 | 209 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10% | 13 | 13 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.4% | 15 | 14 | $984.12 |
| 92025 | 4.5% | 28 | 27 | $471.18 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.3% | 32 | 28 | $235.49 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.9% | 17 | 13 | $199.35 |
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 officialSPADAFORA, ANN MARIE (DOCTOR)