Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Falden, Allison

Falden, Allison was paid $115K by Medicaid between Feb 2019 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.

33Billing provider infoFALDEN, ALLISON
PONTE VEDRA BEACH, FL 32082
33aNPI1336213180assigned 11/20/2006
33bProvider typeOptometrist
28Total paid$115K
24GClaims7,527
24DCodes billed13
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers

Next to other Optometrist providers in Florida

Rank by total paid#211 of 941
Median peer was paid$21K
This provider vs. median5.3×

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

$0$5.0K$10K2018201920202021202220232024
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
2019458$517.20
20201,301$12K
2021657$8K
20223,409$68K
20231,148$16K
2024incomplete554$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36% 893 811 $42K
V2020 Frames, purchases 18% 1,140 972 $20K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 16% 1,018 773 $19K
V2784 Lens, polycarbonate or equal, any index, per lens 15% 494 394 $18K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.7% 199 179 $11K
92340 Fitting of spectacles, except for aphakia; monofocal 2.9% 1,247 1,063 $3K
92015 Determination of refractive state 1.9% 1,705 1,540 $2K
V2756 Eye glass case 0% 194 193 $0.00
92342 0% 228 227 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 24 12 $0.00
2022F 0% 141 136 $0.00
G0117 Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist 0% 231 231 $0.00
1 more codes
V2025 Deluxe frame 0% 13 $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.