Santos, Steven
Santos, Steven was paid $148K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoSANTOS, STEVEN
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1306833868assigned 09/30/2005
33bProvider typeOptometrist
28Total paid$148K
24GClaims5,656
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#42 of 209
Median peer was paid$24K
This provider vs. median6.2×
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 | 1,039 | $28K | |
| 2019 | 49 | $995.04 | |
| 2020 | 686 | $18K | |
| 2021 | 1,372 | $35K | |
| 2022 | 1,008 | $26K | |
| 2023 | 929 | $25K | |
| 2024incomplete | 573 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 1,139 | 1,106 | $46K |
| 92015 | Determination of refractive state | 15% | 1,122 | 1,077 | $23K |
| V2020 | Frames, purchases | 15% | 1,357 | 1,304 | $23K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13% | 458 | 441 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 1,044 | 990 | $18K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.2% | 248 | 234 | $14K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3.6% | 288 | 271 | $5K |
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.