Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Monroe, Elizabeth

Monroe, Elizabeth was paid $48K by Medicaid between Jan 2018 and May 2020, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 70% of everything it billed.

33Billing provider infoMONROE, ELIZABETH
HANNIBAL, MO 63401
33aNPI1356687412assigned 12/18/2012
33bProvider typeOptometrist
28Total paid$48K
24GClaims2,428
24DCodes billed7
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#160 of 547
Median peer was paid$19K
This provider vs. median2.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
20181,047$18K
20191,014$23K
2020367$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 70% 739 673 $34K
92015 Determination of refractive state 10% 937 859 $5K
V2020 Frames, purchases 8.1% 219 196 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.7% 47 46 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 2.8% 88 48 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 2.5% 307 299 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.5% 91 60 $736.67

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.