Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Le, Helen

Le, Helen was paid $3K by Medicaid between Jan 2018 and Feb 2018, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 84% of everything it billed.

33Billing provider infoLE, HELEN
RANDOLPH, MA 02368
33aNPI1437358017assigned 07/13/2007
33bProvider typeOptometrist
28Total paid$3K
24GClaims70
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers

Next to other Optometrist providers in Massachusetts

Rank by total paid#439 of 629
Median peer was paid$15K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201870$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 84% 34 34 $2K
92015 Determination of refractive state 16% 36 36 $470.88

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.