San Clemente, Adele
San Clemente, Adele was paid $334.51 by Medicaid between Oct 2021 and Oct 2022, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoSAN CLEMENTE, ADELE
BRAINTREE, MA 02184
BRAINTREE, MA 02184
33aNPI1396833752assigned 10/11/2006
33bProvider typeOptometrist
28Total paid$334.51
24GClaims26
24DCodes billed1
24AFirst – last monthOct 2021 – Oct 2022
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#567 of 629
Median peer was paid$15K
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 | |
|---|---|---|---|
| 2021 | 14 | $180.32 | |
| 2022 | 12 | $154.19 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 26 | 26 | $334.51 |
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.