Scarbrough, Edward
Scarbrough, Edward was paid $102K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is V2020, Frames, purchases — 40% of everything it billed.
33Billing provider infoSCARBROUGH, EDWARD
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1316931710assigned 08/31/2005
33bProvider typeOptometrist
28Total paid$102K
24GClaims3,712
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#146 of 497
Median peer was paid$21K
This provider vs. median4.9×
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 | 1,227 | $37K | |
| 2019 | 585 | $15K | |
| 2020 | 516 | $13K | |
| 2021 | 623 | $16K | |
| 2022 | 591 | $15K | |
| 2023 | 131 | $5K | |
| 2024incomplete | 39 | $933.26 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 40% | 1,275 | 1,275 | $40K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 1,024 | 1,024 | $20K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 16% | 324 | 324 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 16% | 881 | 880 | $16K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 8.3% | 184 | 184 | $8K |
| 92341 | <1% | 24 | 24 | $513.80 |
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.