Smith, Justin
Smith, Justin was paid $250K by Medicaid between Mar 2018 and Mar 2023, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 60% of everything it billed.
33Billing provider infoSMITH, JUSTIN
CONCORD, MA 01742
CONCORD, MA 01742
33aNPI1437329190assigned 03/08/2008
33bProvider typeOptometrist
28Total paid$250K
24GClaims4,049
24DCodes billed4
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#83 of 629
Median peer was paid$15K
This provider vs. median17×
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 | 609 | $42K | |
| 2019 | 796 | $29K | |
| 2020 | 582 | $40K | |
| 2021 | 873 | $58K | |
| 2022 | 966 | $67K | |
| 2023 | 223 | $14K |
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 | 60% | 1,114 | 1,114 | $150K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 556 | 556 | $51K |
| 92015 | Determination of refractive state | 11% | 2,092 | 2,092 | $27K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.5% | 287 | 287 | $21K |
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.