Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Proleika, Suzanne

Proleika, Suzanne was paid $7K by Medicaid between Nov 2020 and Oct 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 61% of everything it billed.

33Billing provider infoPROLEIKA, SUZANNE
PITTSTON, PA 18640
33aNPI1457442790assigned 09/28/2006
33bProvider typeOptometrist
28Total paid$7K
24GClaims240
24DCodes billed4
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#644 of 983
Median peer was paid$20K
This provider vs. median0.3×

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$500$1.0K2018201920202021202220232024
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
202025$1K
202170$3K
202256$2K
202314$560.00
2024incomplete75$40.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 61% 103 103 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 36 36 $1K
S0621 Routine ophthalmological examination including refraction; established patient 17% 26 26 $1K
92015 Determination of refractive state <1% 75 74 $40.00

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.