Dwan, Holly
Dwan, Holly was paid $694K by Medicaid between Jan 2018 and Apr 2022, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoDWAN, HOLLY
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1245430800assigned 07/23/2007
33bProvider typeOptometrist
28Total paid$694K
24GClaims22,718
24DCodes billed25
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#13 of 209
Median peer was paid$24K
This provider vs. median29×
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 | 4,003 | $111K | |
| 2019 | 987 | $24K | |
| 2020 | 1,119 | $27K | |
| 2021 | 13,523 | $437K | |
| 2022 | 3,086 | $95K |
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 | 21% | 2,050 | 1,993 | $143K |
| 92015 | Determination of refractive state | 13% | 4,061 | 3,907 | $91K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 1,795 | 1,649 | $79K |
| V2020 | Frames, purchases | 8.4% | 3,165 | 3,012 | $59K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 1,216 | 1,126 | $58K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.0% | 415 | 401 | $49K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.0% | 2,842 | 2,683 | $48K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.7% | 821 | 788 | $33K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 4.0% | 1,555 | 1,450 | $28K |
| 92250 | 3.8% | 804 | 777 | $26K | |
| 92370 | 2.4% | 2,254 | 2,099 | $17K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.6% | 282 | 265 | $11K |
13 more codes
| 92133 | 1.3% | 359 | $9K | |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | 1.1% | 88 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.1% | 150 | $8K |
| 92083 | <1% | 188 | $7K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 81 | $6K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 111 | $6K |
| 92341 | <1% | 159 | $3K | |
| 92342 | <1% | 113 | $2K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 24 | $1K |
| 92202 | <1% | 130 | $990.77 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 28 | $576.04 |
| 92145 | <1% | 14 | $92.84 | |
| 99072 | 0% | 13 | $0.00 |
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.