Spellman, Frank

Spellman, Frank was paid $102K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoSPELLMAN, FRANK
WASHINGTON, DC 20003

33aNPI1174519615assigned 09/20/2005

33bProvider typeOphthalmology Physician

28Total paid$102K

24GClaims1,710

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Ophthalmology Physician providers in District of Columbia

Rank by total paid#12 of 29

Median peer was paid$71K

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

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	530	$33K
2019	934	$57K
2020	246	$12K

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	60%	639	583	$62K
92134		25%	731	609	$26K
67028	Intravitreal injection of a pharmacologic agent	9.9%	137	97	$10K
92226		3.4%	165	97	$4K
92250		<1%	12	12	$574.32
92202		<1%	26	18	$261.37

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.