Sappenfield, Carla
Sappenfield, Carla was paid $107K by Medicaid between Jan 2018 and Jul 2019, across 5 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 45% of everything it billed.
33Billing provider infoSAPPENFIELD, CARLA
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1346227923assigned 12/27/2005
33bProvider typeOptometrist
28Total paid$107K
24GClaims2,860
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#140 of 491
Median peer was paid$23K
This provider vs. median4.6×
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 | 1,755 | $67K | |
| 2019 | 1,105 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 45% | 700 | 698 | $48K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 38% | 901 | 901 | $40K |
| V2020 | Frames, purchases | 8.4% | 692 | 690 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.9% | 116 | 116 | $5K |
| V2760 | Scratch resistant coating, per lens | 4.1% | 451 | 450 | $4K |
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.