Schwartz, Nicole
Schwartz, Nicole was paid $253K by Medicaid between Oct 2020 and Nov 2023, across 13 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 49% of everything it billed.
33Billing provider infoSCHWARTZ, NICOLE
KINGSTON, PA 18704
KINGSTON, PA 18704
33aNPI1366597056assigned 01/24/2007
33bProvider typeOptometrist
28Total paid$253K
24GClaims12,424
24DCodes billed13
24AFirst – last monthOct 2020 – Nov 2023
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#109 of 983
Median peer was paid$20K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 500 | $11K | |
| 2021 | 3,419 | $78K | |
| 2022 | 4,256 | $82K | |
| 2023 | 4,249 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 49% | 4,051 | 1,976 | $124K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 2,011 | 1,099 | $36K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.4% | 652 | 644 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.5% | 287 | 285 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.5% | 372 | 372 | $16K |
| V2020 | Frames, purchases | 5.7% | 2,043 | 1,938 | $14K |
| 92015 | Determination of refractive state | 3.6% | 2,038 | 2,019 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.0% | 514 | 254 | $8K |
| 92002 | 3.0% | 273 | 270 | $8K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 117 | 64 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 24 | 12 | $480.00 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 24 | 13 | $480.00 |
1 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 18 | $315.00 |
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.