Price, Calvin
Price, Calvin was paid $147K by Medicaid between Jan 2018 and Jul 2019, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 22% of everything it billed.
33Billing provider infoPRICE, CALVIN
WINDSOR, CT 06095
WINDSOR, CT 06095
33aNPI1487656328assigned 08/11/2005
33bProvider typeOptometrist
28Total paid$147K
24GClaims4,343
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#164 of 340
Median peer was paid$125K
This provider vs. median1.2×
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 | 2,965 | $100K | |
| 2019 | 1,378 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 22% | 893 | 855 | $32K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 656 | 617 | $29K |
| V2020 | Frames, purchases | 13% | 676 | 642 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 289 | 283 | $18K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 553 | 523 | $18K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.3% | 669 | 642 | $14K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 7.4% | 397 | 376 | $11K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.4% | 210 | 188 | $7K |
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.