Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gianfrancesco, Vincenzo

Gianfrancesco, Vincenzo was paid $15K by Medicaid between Apr 2019 and Aug 2022, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 37% of everything it billed.

33Billing provider infoGIANFRANCESCO, VINCENZO
EAST PROVIDENCE, RI 02914
33aNPI1447633060assigned 07/01/2015
33bProvider typeOptometrist
28Total paid$15K
24GClaims638
24DCodes billed7
24AFirst – last monthApr 2019 – Aug 2022
Compared with peers

Next to other Optometrist providers in Rhode Island

Rank by total paid#121 of 209
Median peer was paid$24K
This provider vs. median0.6×

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$2.0K$4.0K2018201920202021202220232024
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
2019252$6K
2020204$5K
2021109$2K
202273$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 37% 226 204 $5K
V2020 Frames, purchases 17% 159 150 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16% 75 70 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14% 53 51 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 9.6% 91 87 $1K
92250 4.7% 19 19 $686.57
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 1.2% 15 15 $180.00

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.