Maine Optometry PA
Maine Optometry PA was paid $497K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.
33Billing provider infoMAINE OPTOMETRY PA
GORHAM, ME 04038
GORHAM, ME 04038
33aNPI1437182383assigned 07/07/2006
33bProvider typeOptometrist
28Total paid$497K
24GClaims23,759
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#11 of 94
Median peer was paid$70K
This provider vs. median7.1×
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 | 3,618 | $63K | |
| 2019 | 5,315 | $89K | |
| 2020 | 4,318 | $80K | |
| 2021 | 2,962 | $60K | |
| 2022 | 2,113 | $48K | |
| 2023 | 2,192 | $55K | |
| 2024incomplete | 3,241 | $102K |
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 | 53% | 5,218 | 4,772 | $264K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 42% | 3,352 | 3,037 | $209K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.4% | 1,380 | 1,279 | $22K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 46 | 36 | $1K |
| 92015 | Determination of refractive state | <1% | 12,508 | 11,427 | $667.23 |
| V2020 | Frames, purchases | <1% | 516 | 475 | $55.12 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 554 | 499 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 173 | 84 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 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 officialACHENBACH, ANDRE (PRESIDENT)