Pollak, Samuel
Pollak, Samuel was paid $945.26 by Medicaid between Aug 2020 and Apr 2024, across 2 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 93% of everything it billed.
33Billing provider infoPOLLAK, SAMUEL
MONSEY, NY 10952
MONSEY, NY 10952
33aNPI1225008089assigned 01/25/2006
33bProvider typeOptometrist
28Total paid$945.26
24GClaims344
24DCodes billed2
24AFirst – last monthAug 2020 – Apr 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#1,396 of 1,605
Median peer was paid$29K
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.
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 | |
|---|---|---|---|
| 2020 | 39 | $183.28 | |
| 2021 | 52 | $110.00 | |
| 2022 | 101 | $309.44 | |
| 2023 | 101 | $91.86 | |
| 2024incomplete | 51 | $250.68 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 93% | 332 | 305 | $876.98 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.2% | 12 | 12 | $68.28 |
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.