Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cheng, Karen

Cheng, Karen was paid $18K by Medicaid between Oct 2022 and Nov 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.

33Billing provider infoCHENG, KAREN
REDWOOD CITY, CA 94063
33aNPI1407182090assigned 11/02/2009
33bProvider typeOptometrist
28Total paid$18K
24GClaims4,670
24DCodes billed9
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#1,017 of 1,899
Median peer was paid$23K
This provider vs. median0.8×

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$1.0K$2.0K2018201920202021202220232024
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
2022260$1K
20231,805$6K
2024incomplete2,605$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 32% 691 690 $6K
92340 Fitting of spectacles, except for aphakia; monofocal 18% 796 795 $3K
V2020 Frames, purchases 18% 975 974 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 10% 422 422 $2K
92015 Determination of refractive state 9.4% 1,179 1,179 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.7% 218 214 $1K
92341 2.7% 89 89 $486.54
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.5% 260 248 $461.23
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 40 40 $142.31

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.