Higgins, Maria
Higgins, Maria was paid $294.10 by Medicaid between Sep 2019 and Dec 2022, across 2 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 100% of everything it billed.
33Billing provider infoHIGGINS, MARIA
WEST CHESTER, PA 19382
WEST CHESTER, PA 19382
33aNPI1376514018assigned 01/31/2006
33bProvider typeOptometrist
28Total paid$294.10
24GClaims64
24DCodes billed2
24AFirst – last monthSep 2019 – Dec 2022
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#937 of 983
Median peer was paid$20K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 26 | $0.00 | |
| 2022 | 38 | $294.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 100% | 38 | 37 | $294.10 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 26 | 19 | $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.