Colonna, Theresa
Colonna, Theresa was paid $241K by Medicaid between Jan 2018 and Jul 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoCOLONNA, THERESA
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1124028378assigned 07/29/2005
33bProvider typeOptometrist
28Total paid$241K
24GClaims9,566
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#30 of 209
Median peer was paid$24K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2018 | 3,558 | $99K | |
| 2019 | 514 | $10K | |
| 2020 | 1,502 | $38K | |
| 2021 | 1,287 | $31K | |
| 2022 | 248 | $7K | |
| 2023 | 2,197 | $52K | |
| 2024incomplete | 260 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 941 | 908 | $63K |
| 92015 | Determination of refractive state | 14% | 1,581 | 1,500 | $35K |
| V2020 | Frames, purchases | 13% | 1,696 | 1,633 | $32K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 746 | 612 | $28K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.5% | 1,351 | 1,293 | $23K |
| 92370 | 4.9% | 1,483 | 1,421 | $12K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 4.5% | 814 | 593 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.5% | 275 | 260 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 227 | 213 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 49 | 45 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.1% | 81 | 67 | $3K |
| 92133 | <1% | 90 | 84 | $2K |
8 more codes
| 92250 | <1% | 52 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 34 | $2K |
| 92225 | <1% | 45 | $2K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 15 | $855.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 28 | $791.39 |
| 92341 | <1% | 26 | $516.40 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $480.17 |
| 92202 | <1% | 18 | $102.62 |
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.