Defreitas, Carlos
Defreitas, Carlos was paid $35K by Medicaid between Apr 2018 and Jun 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 27% of everything it billed.
33Billing provider infoDEFREITAS, CARLOS
NORTH DARTMOUTH, MA 02747
NORTH DARTMOUTH, MA 02747
33aNPI1336136894assigned 09/30/2005
33bProvider typeOptometrist
28Total paid$35K
24GClaims1,397
24DCodes billed8
24AFirst – last monthApr 2018 – Jun 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#241 of 629
Median peer was paid$15K
This provider vs. median2.3×
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 | 104 | $3K | |
| 2019 | 12 | $294.03 | |
| 2020 | 46 | $1K | |
| 2021 | 420 | $11K | |
| 2022 | 436 | $10K | |
| 2023 | 326 | $9K | |
| 2024incomplete | 53 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 27% | 432 | 397 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 168 | 158 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 171 | 165 | $7K |
| V2020 | Frames, purchases | 11% | 295 | 264 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.0% | 194 | 173 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.0% | 80 | 42 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.5% | 41 | 36 | $880.12 |
| 92370 | <1% | 16 | 13 | $110.00 |
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.