Sylvia, Scott
Sylvia, Scott was paid $318K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 17% of everything it billed.
33Billing provider infoSYLVIA, SCOTT
PROVIDENCE, RI 02904
PROVIDENCE, RI 02904
33aNPI1457316259assigned 04/18/2006
33bProvider typeOptometrist
28Total paid$318K
24GClaims13,059
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#21 of 209
Median peer was paid$24K
This provider vs. median13×
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 | 2,644 | $68K | |
| 2019 | 365 | $10K | |
| 2020 | 2,429 | $55K | |
| 2021 | 3,004 | $69K | |
| 2022 | 1,914 | $47K | |
| 2023 | 1,826 | $44K | |
| 2024incomplete | 877 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17% | 2,143 | 1,183 | $53K |
| 92015 | Determination of refractive state | 17% | 2,275 | 2,185 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,053 | 1,018 | $52K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 1,164 | 1,127 | $44K |
| V2020 | Frames, purchases | 13% | 2,292 | 2,194 | $42K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.8% | 1,819 | 1,730 | $31K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 5.0% | 1,760 | 837 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 124 | 120 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.3% | 151 | 146 | $7K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.5% | 98 | 98 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 113 | 110 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 28 | 28 | $2K |
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.