Saltivan, Rigen Pamin
Saltivan, Rigen Pamin was paid $41K by Medicaid between Jul 2021 and Apr 2023, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 44% of everything it billed.
33Billing provider infoSALTIVAN, RIGEN PAMIN
LAKE CITY, FL 32055
LAKE CITY, FL 32055
33aNPI1497331938assigned 03/23/2021
33bProvider typeOptometrist
28Total paid$41K
24GClaims1,695
24DCodes billed9
24AFirst – last monthJul 2021 – Apr 2023
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#373 of 941
Median peer was paid$21K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 292 | $7K | |
| 2022 | 1,031 | $24K | |
| 2023 | 372 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 44% | 601 | 502 | $18K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 36% | 491 | 434 | $15K |
| V2020 | Frames, purchases | 7.7% | 96 | 94 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.8% | 68 | 68 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.9% | 72 | 72 | $2K |
| 92310 | 2.1% | 25 | 18 | $875.00 | |
| 92015 | Determination of refractive state | 0% | 57 | 46 | $0.00 |
| 92250 | 0% | 259 | 156 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 26 | 21 | $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.