Rafalowsky, Steven
Rafalowsky, Steven was paid $200K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 28% of everything it billed.
33Billing provider infoRAFALOWSKY, STEVEN
MARLBOROUGH, CT 06447
MARLBOROUGH, CT 06447
33aNPI1134230618assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$200K
24GClaims6,680
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#148 of 340
Median peer was paid$125K
This provider vs. median1.6×
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 | 1,287 | $37K | |
| 2019 | 1,380 | $40K | |
| 2020 | 1,124 | $35K | |
| 2021 | 1,002 | $31K | |
| 2022 | 838 | $26K | |
| 2023 | 554 | $17K | |
| 2024incomplete | 495 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 28% | 1,826 | 1,701 | $57K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 958 | 920 | $42K |
| V2020 | Frames, purchases | 21% | 1,469 | 1,398 | $41K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 780 | 741 | $23K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 1,068 | 1,011 | $20K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.1% | 211 | 201 | $12K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 2.3% | 327 | 317 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 29 | 25 | $450.14 |
| 92341 | <1% | 12 | 12 | $294.12 |
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.