Phillips, Susan
Phillips, Susan was paid $138K by Medicaid between Jan 2019 and Mar 2023, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 61% of everything it billed.
33Billing provider infoPHILLIPS, SUSAN
ST PETERSBURG, FL 33710
ST PETERSBURG, FL 33710
33aNPI1437177789assigned 07/17/2006
33bProvider typeOptometrist
28Total paid$138K
24GClaims4,000
24DCodes billed14
24AFirst – last monthJan 2019 – Mar 2023
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#180 of 941
Median peer was paid$21K
This provider vs. median6.4×
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 | |
|---|---|---|---|
| 2019 | 787 | $9K | |
| 2020 | 172 | $2K | |
| 2021 | 1,454 | $67K | |
| 2022 | 1,375 | $51K | |
| 2023 | 212 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 61% | 949 | 874 | $84K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 32% | 941 | 878 | $44K |
| V2020 | Frames, purchases | 3.0% | 157 | 151 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.8% | 83 | 78 | $4K |
| 92015 | Determination of refractive state | 1.5% | 987 | 912 | $2K |
| 92341 | <1% | 99 | 95 | $58.30 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 15 | 15 | $31.32 |
| 5010F | 0% | 46 | 46 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 315 | 286 | $0.00 |
| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | 0% | 14 | 14 | $0.00 |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 15 | 15 | $0.00 |
| 2022F | 0% | 17 | 17 | $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.