Guarascio, Sarah
Guarascio, Sarah was paid $2.02M by Medicaid between Jan 2018 and Mar 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoGUARASCIO, SARAH
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
33aNPI1497137582assigned 06/24/2015
33bProvider typeOptometrist
28Total paid$2.02M
24GClaims69,487
24DCodes billed29
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#3 of 209
Median peer was paid$24K
This provider vs. median85×
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 | 15,229 | $449K | |
| 2019 | 2,950 | $72K | |
| 2020 | 9,503 | $276K | |
| 2021 | 19,100 | $558K | |
| 2022 | 8,745 | $262K | |
| 2023 | 11,963 | $349K | |
| 2024incomplete | 1,997 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 22% | 6,517 | 6,363 | $446K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 5,455 | 4,759 | $229K |
| 92015 | Determination of refractive state | 10% | 9,400 | 9,053 | $210K |
| V2020 | Frames, purchases | 8.3% | 9,107 | 8,828 | $167K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.2% | 8,486 | 8,118 | $145K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.9% | 2,870 | 2,775 | $119K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 2,208 | 2,128 | $105K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 4.9% | 6,296 | 5,354 | $99K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 1,061 | 1,035 | $86K |
| 92370 | 3.1% | 7,903 | 7,490 | $63K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 1,691 | 1,511 | $57K |
| 92250 | 2.6% | 1,602 | 1,553 | $52K |
17 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.4% | 1,223 | $49K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.8% | 817 | $36K |
| 92083 | 1.2% | 679 | $24K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 318 | $23K |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | 1.1% | 238 | $22K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 363 | $20K |
| 92133 | <1% | 735 | $17K | |
| 92341 | <1% | 548 | $11K | |
| 92342 | <1% | 480 | $10K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 150 | $8K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 255 | $7K |
| 92202 | <1% | 687 | $6K | |
| 92226 | <1% | 235 | $4K | |
| 92225 | <1% | 96 | $3K | |
| 92134 | <1% | 26 | $655.02 | |
| V2756 | Eye glass case | <1% | 21 | $85.00 |
| 99072 | 0% | 20 | $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.