Grimm, Adam
Grimm, Adam was paid $18K by Medicaid between Mar 2021 and Sep 2021, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.
33Billing provider infoGRIMM, ADAM
WAKEFIELD, MA 01880
WAKEFIELD, MA 01880
33aNPI1366826075assigned 07/13/2015
33bProvider typeOptometrist
28Total paid$18K
24GClaims714
24DCodes billed10
24AFirst – last monthMar 2021 – Sep 2021
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#299 of 629
Median peer was paid$15K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 714 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 41% | 105 | 88 | $7K |
| 92015 | Determination of refractive state | 20% | 169 | 138 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.5% | 70 | 60 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.1% | 27 | 25 | $2K |
| V2020 | Frames, purchases | 5.8% | 116 | 101 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.6% | 59 | 50 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.6% | 122 | 107 | $645.06 |
| 92341 | 2.9% | 17 | 13 | $518.25 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.2% | 15 | 12 | $389.76 |
| V2750 | Anti-reflective coating, per lens | 0% | 14 | 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.