Pearl, Scott
Pearl, Scott was paid $190K by Medicaid between Jul 2019 and Jul 2023, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.
33Billing provider infoPEARL, SCOTT
ST AUGUSTINE, FL 32095
ST AUGUSTINE, FL 32095
33aNPI1467452474assigned 08/01/2005
33bProvider typeOptometrist
28Total paid$190K
24GClaims5,030
24DCodes billed12
24AFirst – last monthJul 2019 – Jul 2023
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#124 of 941
Median peer was paid$21K
This provider vs. median8.8×
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 | |
|---|---|---|---|
| 2019 | 406 | $1K | |
| 2020 | 281 | $2K | |
| 2021 | 771 | $34K | |
| 2022 | 2,436 | $109K | |
| 2023 | 1,136 | $44K |
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 | 50% | 454 | 434 | $95K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 26% | 669 | 456 | $50K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 145 | 144 | $30K |
| V2020 | Frames, purchases | 3.9% | 1,070 | 772 | $7K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 2.5% | 641 | 433 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 991 | 701 | $2K |
| 92015 | Determination of refractive state | <1% | 873 | 843 | $595.00 |
| 92342 | <1% | 40 | 40 | $43.36 | |
| 3072F | 0% | 22 | 22 | $0.00 | |
| V2756 | Eye glass case | 0% | 39 | 39 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 22 | 15 | $0.00 |
| 2022F | 0% | 64 | 64 | $0.00 |
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.