Troy a Norton Od, INC.
Troy a Norton Od, INC. was paid $480K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.
33Billing provider infoTROY A NORTON OD, INC.
FARMINGTON, ME 04938
FARMINGTON, ME 04938
33aNPI1487733143assigned 11/03/2006
33bProvider typeOptometrist
28Total paid$480K
24GClaims27,655
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#12 of 94
Median peer was paid$70K
This provider vs. median6.9×
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 | 3,995 | $47K | |
| 2019 | 4,458 | $56K | |
| 2020 | 4,564 | $48K | |
| 2021 | 5,860 | $64K | |
| 2022 | 3,315 | $70K | |
| 2023 | 3,078 | $111K | |
| 2024incomplete | 2,385 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 53% | 4,641 | 4,393 | $255K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 38% | 2,557 | 2,415 | $184K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.5% | 2,617 | 2,505 | $41K |
| 92015 | Determination of refractive state | <1% | 7,303 | 6,913 | $312.98 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 13 | $282.15 |
| 1036F | 0% | 2,124 | 2,000 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 372 | 351 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,732 | 1,645 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 2,208 | 2,092 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 546 | 517 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 89 | 81 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 13 | 13 | $0.00 |
7 more codes
| 4004F | 0% | 450 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,024 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 120 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 720 | $0.00 |
| 2022F | 0% | 67 | $0.00 | |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 16 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 42 | $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.
From NPPES
Who's on the registration
Authorized officialNORTON, TROY (OPTOMETRIST)