Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Chen, Hongxia

Chen, Hongxia was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 56% of everything it billed.

33Billing provider infoCHEN, HONGXIA
BOSTON, MA 02111
33aNPI1457573214assigned 05/02/2007
33bProvider typeOptometrist
28Total paid$1.05M
24GClaims21,124
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Massachusetts

Rank by total paid#22 of 629
Median peer was paid$15K
This provider vs. median70×

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$20K$40K2018201920202021202220232024
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
20184,595$184K
20194,946$266K
20202,999$203K
20212,395$156K
20222,832$177K
20231,237$46K
2024incomplete2,120$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 56% 10,595 10,593 $588K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 3,842 3,758 $202K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 1,875 1,875 $148K
92250 6.3% 1,480 1,473 $66K
92015 Determination of refractive state 3.3% 3,061 3,044 $35K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 178 171 $8K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive <1% 67 66 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 26 26 $952.90

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.