Costa, Angela

Costa, Angela was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.

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	1,781	$58K
2019	2,608	$81K
2020	1,870	$59K
2021	4,468	$124K
2022	5,914	$212K
2023	8,909	$282K
2024incomplete	7,867	$242K

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	30%	3,594	3,462	$317K
V2020	Frames, purchases	13%	5,176	4,860	$136K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	11%	1,309	1,171	$114K
92340	Fitting of spectacles, except for aphakia; monofocal	10%	4,426	4,217	$107K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	10%	1,665	1,573	$107K
92015	Determination of refractive state	4.6%	3,917	3,651	$49K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	4.6%	2,523	2,335	$49K
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	3.2%	632	566	$34K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2.8%	1,415	1,379	$30K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.6%	802	655	$27K
V2784	Lens, polycarbonate or equal, any index, per lens	2.3%	3,371	3,128	$25K
92133		1.7%	602	537	$17K

11 more codes

92341		1.2%	496	$13K
V2755	U-v lens, per lens	1.0%	947	$11K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	246	$9K
V2760	Scratch resistant coating, per lens	<1%	1,924	$7K
92250		<1%	99	$4K
V2750	Anti-reflective coating, per lens	<1%	50	$999.10
92134		<1%	28	$722.34
99199	Unlisted special service, procedure or report	0%	25	$0.00
3072F		0%	40	$0.00
2023F		0%	104	$0.00
V2799	Vision item or service, miscellaneous	0%	26	$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.