Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Chino › NPI 1386701068

Edelson, H

Edelson, H was paid $37K by Medicaid between Mar 2018 and Jun 2019, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.

33Billing provider infoEDELSON, H
CHINO, CA 91710
33aNPI1386701068assigned 01/02/2007
33bProvider typeOptometrist
28Total paid$37K
24GClaims1,924
24DCodes billed5
24AFirst – last monthMar 2018 – Jun 2019
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#808 of 1,899
Median peer was paid$23K
This provider vs. median1.6×

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
20181,281$24K
2019643$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 37% 404 400 $14K
V2020 Frames, purchases 20% 397 391 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 18% 365 359 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 137 134 $5K
92015 Determination of refractive state 12% 621 609 $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.