Physician
Charles, Jean
Charles, Jean was paid $621K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 15% of everything it billed.
33Billing provider infoCHARLES, JEAN
DORCHESTER CENTER, MA 02124
DORCHESTER CENTER, MA 02124
33aNPI1396940326assigned 06/19/2007
33bProvider typeOphthalmology Physician
28Total paid$621K
24GClaims22,423
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Massachusetts
Rank by total paid#15 of 203
Median peer was paid$18K
This provider vs. median35×
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 | 5,219 | $156K | |
| 2019 | 3,793 | $116K | |
| 2020 | 2,497 | $65K | |
| 2021 | 4,192 | $101K | |
| 2022 | 3,667 | $90K | |
| 2023 | 2,143 | $56K | |
| 2024incomplete | 912 | $38K |
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 | 15% | 1,593 | 1,453 | $93K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 1,057 | 1,007 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,571 | 3,267 | $76K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.7% | 1,924 | 1,405 | $54K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.7% | 768 | 739 | $48K |
| 92341 | 7.5% | 1,359 | 1,325 | $47K | |
| 92134 | 5.5% | 2,733 | 1,633 | $34K | |
| 92015 | Determination of refractive state | 5.2% | 2,534 | 2,413 | $32K |
| 92133 | 4.9% | 2,404 | 1,465 | $30K | |
| V2025 | Deluxe frame | 3.3% | 116 | 116 | $21K |
| 92250 | 3.0% | 940 | 664 | $19K | |
| 92083 | 2.9% | 1,029 | 679 | $18K |
12 more codes
| 92286 | 2.1% | 1,090 | $13K | |
| 92275 | 1.8% | 283 | $11K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.3% | 231 | $8K |
| 65855 | 1.2% | 115 | $7K | |
| 92273 | <1% | 136 | $6K | |
| V2020 | Frames, purchases | <1% | 136 | $4K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 52 | $4K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 13 | $3K |
| 95930 | <1% | 66 | $3K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 54 | $3K |
| 92145 | <1% | 186 | $1K | |
| 92100 | <1% | 33 | $651.10 |
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.