Santos, Madonna
Santos, Madonna was paid $2K by Medicaid between May 2023 and Aug 2023, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 63% of everything it billed.
33Billing provider infoSANTOS, MADONNA
AGAWAM, MA 01001
AGAWAM, MA 01001
33aNPI1457450587assigned 09/22/2006
33bProvider typeOptometrist
28Total paid$2K
24GClaims55
24DCodes billed2
24AFirst – last monthMay 2023 – Aug 2023
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#490 of 629
Median peer was paid$15K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 55 | $2K |
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 | 63% | 13 | 13 | $948.61 |
| 92015 | Determination of refractive state | 37% | 42 | 42 | $563.64 |
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.