Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › East Greenwich › NPI 1114908076

Falk, Amy

Falk, Amy was paid $34K by Medicaid between Feb 2018 and Jul 2024, across 9 billing codes. Its largest line is 92250, — 19% of everything it billed.

33Billing provider infoFALK, AMY
EAST GREENWICH, RI 02818
33aNPI1114908076assigned 11/08/2005
33bProvider typeOptometrist
28Total paid$34K
24GClaims1,405
24DCodes billed9
24AFirst – last monthFeb 2018 – Jul 2024
Compared with peers

Next to other Optometrist providers in Rhode Island

Rank by total paid#90 of 209
Median peer was paid$24K
This provider vs. median1.4×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018803$18K
201927$363.65
2020128$4K
202156$2K
202241$930.48
2023214$5K
2024incomplete136$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92250 19% 189 171 $6K
92015 Determination of refractive state 17% 240 202 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 100 88 $5K
V2020 Frames, purchases 13% 267 261 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 11% 232 218 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 10% 126 88 $4K
V2784 Lens, polycarbonate or equal, any index, per lens 7.2% 154 100 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5.9% 51 51 $2K
92025 1.7% 46 46 $559.82

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.