1275668949

1275668949 was paid $103K by Medicaid between Jan 2018 and Nov 2021, across 4 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 42% of everything it billed.

33Billing provider info1275668949

33aNPI1275668949

33bProvider type—

28Total paid$103K

24GClaims3,770

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2021

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	1,015	$32K
2019	1,036	$29K
2020	948	$27K
2021	771	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92340	Fitting of spectacles, except for aphakia; monofocal	42%	2,236	2,182	$44K
V2799	Vision item or service, miscellaneous	29%	302	302	$30K
92341		27%	1,218	1,196	$28K
92015	Determination of refractive state	1.4%	14	14	$1K

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.