Roberts & Roberts
Roberts & Roberts was paid $816K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.
33Billing provider infoROBERTS & ROBERTS
VESTAL, NY 13850
VESTAL, NY 13850
33aNPI1427120906assigned 11/14/2006
33bProvider typeOptometrist
28Total paid$816K
24GClaims31,070
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#116 of 1,605
Median peer was paid$29K
This provider vs. median28×
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 | 2,193 | $67K | |
| 2019 | 4,376 | $125K | |
| 2020 | 5,064 | $147K | |
| 2021 | 5,482 | $157K | |
| 2022 | 5,770 | $157K | |
| 2023 | 5,053 | $121K | |
| 2024incomplete | 3,132 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 3,356 | 3,332 | $239K |
| V2020 | Frames, purchases | 25% | 7,502 | 7,208 | $205K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 2,973 | 2,943 | $172K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.5% | 1,401 | 1,257 | $70K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.4% | 3,251 | 1,533 | $69K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.6% | 6,832 | 3,479 | $29K |
| 92015 | Determination of refractive state | 1.8% | 4,750 | 4,652 | $15K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 253 | 253 | $5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 100 | 50 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 48 | 47 | $2K |
| 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 | <1% | 44 | 43 | $2K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 27 | 27 | $2K |
11 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 92250 | <1% | 76 | $1K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 13 | $697.10 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 15 | $441.44 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 119 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 53 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 13 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 105 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 58 | $0.00 |
| 1036F | 0% | 57 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialROBERTS, GEORGE (OWNER OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| Northeast Texas Public Health District | Tyler, TX | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.