Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rosa, Adam

Rosa, Adam was paid $64K by Medicaid between Jul 2019 and Nov 2022, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.

33Billing provider infoROSA, ADAM
OCEANSIDE, CA 92058
33aNPI1295250264assigned 08/10/2017
33bProvider typeOptometrist
28Total paid$64K
24GClaims4,810
24DCodes billed6
24AFirst – last monthJul 2019 – Nov 2022
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#640 of 1,899
Median peer was paid$23K
This provider vs. median2.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2019213$3K
20201,129$16K
20211,873$26K
20221,595$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 56% 1,532 1,509 $36K
V2020 Frames, purchases 27% 1,393 1,370 $17K
92015 Determination of refractive state 12% 1,692 1,668 $8K
92340 Fitting of spectacles, except for aphakia; monofocal 2.7% 139 139 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.4% 27 27 $887.50
92341 <1% 27 27 $372.06

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.