Lee, Sylvia
Lee, Sylvia was paid $934K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 18% of everything it billed.
33Billing provider infoLEE, SYLVIA
GREENFIELD, CA 93927
GREENFIELD, CA 93927
33aNPI1396787214assigned 06/12/2006
33bProvider typeOptometrist
28Total paid$934K
24GClaims44,184
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#71 of 1,899
Median peer was paid$23K
This provider vs. median41×
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 | |
|---|---|---|---|
| 2018 | 7,311 | $153K | |
| 2019 | 4,955 | $105K | |
| 2020 | 8,396 | $177K | |
| 2021 | 5,351 | $113K | |
| 2022 | 9,623 | $203K | |
| 2023 | 4,532 | $99K | |
| 2024incomplete | 4,016 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 5,776 | 5,776 | $169K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 5,323 | 5,322 | $168K |
| V2020 | Frames, purchases | 17% | 8,126 | 8,124 | $159K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 8,083 | 8,080 | $156K |
| 92015 | Determination of refractive state | 13% | 10,588 | 10,587 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 2,548 | 2,443 | $55K |
| 92250 | 5.0% | 1,563 | 1,561 | $46K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.9% | 892 | 886 | $27K |
| 92341 | 2.8% | 983 | 983 | $26K | |
| 99058 | <1% | 241 | 237 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 25 | 25 | $908.36 |
| 92133 | <1% | 24 | 24 | $757.73 |
1 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $562.26 |
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.