Lee, Elaine
Lee, Elaine was paid $30K by Medicaid between Mar 2018 and Feb 2020, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.
33Billing provider infoLEE, ELAINE
APPLE VALLEY, CA 92308
APPLE VALLEY, CA 92308
33aNPI1205934551assigned 09/20/2006
33bProvider typeOptometrist
28Total paid$30K
24GClaims1,399
24DCodes billed5
24AFirst – last monthMar 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#864 of 1,899
Median peer was paid$23K
This provider vs. median1.3×
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 | 785 | $17K | |
| 2019 | 496 | $11K | |
| 2020 | 118 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 43% | 352 | 347 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 201 | 199 | $8K |
| 92015 | Determination of refractive state | 16% | 613 | 600 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.9% | 116 | 111 | $2K |
| V2020 | Frames, purchases | 7.9% | 117 | 113 | $2K |
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.