Gardner, Janice
Gardner, Janice was paid $34K by Medicaid between Mar 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 57% of everything it billed.
33Billing provider infoGARDNER, JANICE
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1518272905assigned 08/10/2010
33bProvider typeOptometrist
28Total paid$34K
24GClaims1,275
24DCodes billed7
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#89 of 209
Median peer was paid$24K
This provider vs. median1.4×
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 | 164 | $4K | |
| 2019 | 41 | $997.50 | |
| 2020 | 181 | $4K | |
| 2021 | 354 | $9K | |
| 2022 | 152 | $5K | |
| 2023 | 333 | $9K | |
| 2024incomplete | 50 | $2K |
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 | 57% | 506 | 496 | $19K |
| 92015 | Determination of refractive state | 16% | 198 | 196 | $5K |
| V2020 | Frames, purchases | 12% | 290 | 283 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 214 | 206 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 43 | 42 | $940.50 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.0% | 12 | 12 | $670.36 |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 12 | 12 | $120.00 |
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.