Klibanoff, Mona
Klibanoff, Mona was paid $696K by Medicaid between Apr 2018 and Dec 2024, across 18 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 15% of everything it billed.
33Billing provider infoKLIBANOFF, MONA
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1427364157assigned 08/18/2010
33bProvider typeOptometrist
28Total paid$696K
24GClaims23,173
24DCodes billed18
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#12 of 209
Median peer was paid$24K
This provider vs. median29×
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 | 1,710 | $50K | |
| 2019 | 424 | $10K | |
| 2020 | 2,694 | $78K | |
| 2021 | 5,325 | $160K | |
| 2022 | 2,640 | $75K | |
| 2023 | 4,978 | $156K | |
| 2024incomplete | 5,402 | $166K |
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 | 15% | 1,854 | 1,819 | $105K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 2,401 | 2,357 | $104K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 2,399 | 2,350 | $103K |
| V2020 | Frames, purchases | 11% | 4,567 | 4,484 | $79K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.9% | 3,587 | 3,521 | $62K |
| 92015 | Determination of refractive state | 8.4% | 2,594 | 2,524 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 920 | 868 | $44K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 5.1% | 2,029 | 1,980 | $35K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.9% | 526 | 521 | $34K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.4% | 763 | 745 | $30K |
| 92250 | 2.9% | 631 | 621 | $20K | |
| 92341 | 2.1% | 757 | 746 | $15K |
6 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 60 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 36 | $2K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | $483.60 |
| 92083 | <1% | 12 | $395.43 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 12 | $233.16 |
| 92133 | <1% | 12 | $221.91 |
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.