James R Vitale
James R Vitale was paid $76K by Medicaid between Jan 2018 and Mar 2023, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoJAMES R VITALE
PLAISTOW, NH 03865
PLAISTOW, NH 03865
33aNPI1508047119assigned 11/26/2007
33bProvider typeOptometrist
28Total paid$76K
24GClaims2,669
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Optometrist providers in New Hampshire
Rank by total paid#40 of 102
Median peer was paid$45K
This provider vs. median1.7×
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 | 605 | $17K | |
| 2019 | 485 | $13K | |
| 2020 | 473 | $13K | |
| 2021 | 518 | $14K | |
| 2022 | 469 | $14K | |
| 2023 | 119 | $4K |
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 | 44% | 603 | 539 | $34K |
| 92015 | Determination of refractive state | 30% | 1,110 | 1,003 | $22K |
| V2020 | Frames, purchases | 11% | 276 | 260 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 292 | 280 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.2% | 94 | 86 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.9% | 265 | 249 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 14 | 13 | $1K |
| V2756 | Eye glass case | <1% | 15 | 15 | $7.80 |
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 officialVITALE, JAMES (PROPRIETOR)