Hamel, Paul
Hamel, Paul was paid $431K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 49% of everything it billed.
33Billing provider infoHAMEL, PAUL
PEABODY, MA 01960
PEABODY, MA 01960
33aNPI1497752513assigned 07/05/2005
33bProvider typeOptometrist
28Total paid$431K
24GClaims11,220
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#49 of 629
Median peer was paid$15K
This provider vs. median29×
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 | 2,582 | $98K | |
| 2019 | 1,235 | $45K | |
| 2020 | 1,262 | $47K | |
| 2021 | 1,662 | $58K | |
| 2022 | 1,502 | $56K | |
| 2023 | 1,475 | $62K | |
| 2024incomplete | 1,502 | $66K |
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 | 49% | 2,957 | 2,951 | $211K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 1,852 | 1,828 | $100K |
| 92015 | Determination of refractive state | 15% | 4,990 | 4,881 | $63K |
| 92225 | 5.6% | 512 | 260 | $24K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.5% | 693 | 621 | $20K |
| 92083 | 1.9% | 108 | 107 | $8K | |
| 92341 | <1% | 62 | 57 | $2K | |
| 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 | <1% | 31 | 30 | $2K |
| V2020 | Frames, purchases | <1% | 15 | 15 | $1K |
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.