Himmelstein, Amy
Himmelstein, Amy was paid $242K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 31% of everything it billed.
33Billing provider infoHIMMELSTEIN, AMY
BRISTOL, CT 06010
BRISTOL, CT 06010
33aNPI1245257153assigned 07/16/2006
33bProvider typeOptometrist
28Total paid$242K
24GClaims7,413
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#137 of 340
Median peer was paid$125K
This provider vs. median1.9×
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 | 1,379 | $46K | |
| 2019 | 1,561 | $52K | |
| 2020 | 865 | $27K | |
| 2021 | 1,079 | $35K | |
| 2022 | 994 | $32K | |
| 2023 | 801 | $26K | |
| 2024incomplete | 734 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 31% | 2,099 | 2,017 | $75K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 1,166 | 1,109 | $56K |
| V2020 | Frames, purchases | 20% | 1,750 | 1,643 | $49K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.3% | 1,097 | 1,038 | $23K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 9.1% | 781 | 737 | $22K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.1% | 240 | 229 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.7% | 103 | 99 | $7K |
| 92341 | 1.3% | 150 | 139 | $3K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 27 | 27 | $779.59 |
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.