Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sturgis, Stephanie

Sturgis, Stephanie was paid $194K by Medicaid between Sep 2021 and Jul 2022, across 21 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 14% of everything it billed.

33Billing provider infoSTURGIS, STEPHANIE
PROVIDENCE, RI 02903
33aNPI1083098156assigned 07/17/2015
33bProvider typeOptometrist
28Total paid$194K
24GClaims6,791
24DCodes billed21
24AFirst – last monthSep 2021 – Jul 2022
Compared with peers

Next to other Optometrist providers in Rhode Island

Rank by total paid#36 of 209
Median peer was paid$24K
This provider vs. median8.2×

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

$0$20K$40K2018201920202021202220232024
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
20213,898$114K
20222,893$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14% 550 517 $26K
92015 Determination of refractive state 13% 1,256 1,133 $25K
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 11% 307 301 $21K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9.7% 443 406 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.5% 334 298 $19K
V2020 Frames, purchases 8.5% 918 861 $17K
92340 Fitting of spectacles, except for aphakia; monofocal 7.5% 845 785 $15K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.3% 262 241 $12K
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 5.5% 102 97 $11K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 4.6% 516 482 $9K
92370 3.2% 874 812 $6K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.7% 43 42 $3K
9 more codes
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 1.7% 63 $3K
92083 <1% 49 $2K
V2303 Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens <1% 15 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 43 $1K
92341 <1% 64 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 31 $1K
92342 <1% 29 $577.79
92133 <1% 34 $557.62
92250 <1% 13 $431.80

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.