Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Aviles, Martin

Aviles, Martin was paid $677K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 47% of everything it billed.

33Billing provider infoAVILES, MARTIN
NEW YORK, NY 10021
33aNPI1326063702assigned 07/13/2006
33bProvider typeOptometrist
28Total paid$677K
24GClaims60,361
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#148 of 1,605
Median peer was paid$29K
This provider vs. median23×

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$10K$20K2018201920202021202220232024
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
20188,365$74K
20199,854$78K
20208,504$64K
202111,699$138K
20229,443$143K
20238,475$123K
2024incomplete4,021$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 47% 19,723 10,636 $320K
V2020 Frames, purchases 28% 16,221 15,903 $187K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 13% 4,087 2,216 $86K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 5.5% 3,784 1,948 $37K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.0% 1,096 552 $14K
V2784 Lens, polycarbonate or equal, any index, per lens 1.8% 13,288 6,973 $12K
92340 Fitting of spectacles, except for aphakia; monofocal 1.1% 491 484 $7K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 647 336 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 223 216 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 97 94 $1K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 121 62 $1K
V2755 U-v lens, per lens 0% 138 67 $0.00
3 more codes
V2756 Eye glass case 0% 33 $0.00
92015 Determination of refractive state 0% 376 $0.00
2022F 0% 36 $0.00

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.