Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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OIG excluded

Sachs, Carole

Sachs, Carole was paid $1K by Medicaid between Apr 2018 and Oct 2020, across 2 billing codes. Its largest line is 92015, Determination of refractive state — 77% of everything it billed.

33Billing provider infoSACHS, CAROLE
TURLOCK, CA 95380
33aNPI1205821741assigned 09/12/2005
33bProvider typeOptometrist
28Total paid$1K
24GClaims122
24DCodes billed2
24AFirst – last monthApr 2018 – Oct 2020
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#1,555 of 1,899
Median peer was paid$23K
This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (03/20/2024).
Box 24A · Dates of service

Paid by month

$0$100$200$3002018201920202021202220232024
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
201868$488.48
201929$209.09
202025$323.89
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 77% 110 109 $791.30
V2020 Frames, purchases 23% 12 12 $230.16

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.