DR George T Roberts Optometrist PLLC
DR George T Roberts Optometrist PLLC was paid $464K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoDR GEORGE T ROBERTS OPTOMETRIST PLLC
SIDNEY, NY 13838
SIDNEY, NY 13838
33aNPI1508929134assigned 12/18/2006
33bProvider typeOptometrist
28Total paid$464K
24GClaims31,448
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#211 of 1,605
Median peer was paid$29K
This provider vs. median16×
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 | 2,282 | $31K | |
| 2019 | 4,847 | $85K | |
| 2020 | 4,276 | $66K | |
| 2021 | 5,882 | $87K | |
| 2022 | 5,384 | $79K | |
| 2023 | 5,125 | $68K | |
| 2024incomplete | 3,652 | $48K |
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 | 33% | 3,544 | 3,486 | $151K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 1,996 | 1,968 | $104K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 20% | 4,601 | 2,194 | $94K |
| V2020 | Frames, purchases | 13% | 4,825 | 4,627 | $61K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.5% | 965 | 486 | $21K |
| 92250 | 2.6% | 725 | 593 | $12K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 141 | 127 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 9,537 | 4,588 | $5K |
| 92015 | Determination of refractive state | 1.0% | 4,364 | 4,313 | $5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 116 | 55 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 156 | 156 | $2K |
| 92341 | <1% | 27 | 26 | $500.00 |
8 more codes
| G8785 | Blood pressure reading not documented, reason not given | 0% | 145 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 68 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 64 | $0.00 |
| 4004F | 0% | 12 | $0.00 | |
| 1036F | 0% | 15 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 122 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 13 | $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% | 12 | $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 officialROBERTS, KATHI (PRACTICE ADMINISTRATOR)