Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Devivo, Angelo

Devivo, Angelo was paid $1K by Medicaid between Apr 2023 and Apr 2023, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 64% of everything it billed.

33Billing provider infoDEVIVO, ANGELO
MANNING, SC 29102
33aNPI1326040536assigned 06/01/2005
33bProvider typeOptometrist
28Total paid$1K
24GClaims68
24DCodes billed5
24AFirst – last monthApr 2023 – Apr 2023
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#348 of 425
Median peer was paid$22K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
202368$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 64% 15 15 $884.61
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 13% 13 13 $182.00
92015 Determination of refractive state 10% 14 14 $140.22
V2020 Frames, purchases 9.4% 13 13 $130.00
V2784 Lens, polycarbonate or equal, any index, per lens 3.7% 13 13 $52.00

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.