1548208713

1548208713 was paid $179K by Medicaid between Jan 2018 and Mar 2020, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 66% of everything it billed.

33Billing provider info1548208713

33aNPI1548208713

33bProvider type—

28Total paid$179K

24GClaims10,563

24DCodes billed17

24AFirst – last monthJan 2018 – Mar 2020

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	6,928	$87K
2019	3,169	$81K
2020	466	$11K

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	66%	2,810	2,810	$119K
92340	Fitting of spectacles, except for aphakia; monofocal	14%	1,356	1,355	$25K
92341		6.1%	564	563	$11K
92015	Determination of refractive state	5.6%	2,284	2,282	$10K
92133		3.4%	276	272	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.0%	136	135	$5K
76514		<1%	42	42	$910.00
92083		<1%	38	38	$742.40
V2020	Frames, purchases	<1%	828	805	$496.00
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	310	192	$235.20
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	564	330	$119.00
S0621	Routine ophthalmological examination including refraction; established patient	<1%	346	346	$52.80

5 more codes

V2784	Lens, polycarbonate or equal, any index, per lens	<1%	592	$40.00
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	265	$27.00
V2599	Contact lens, other type	0%	74	$0.00
V2781	Progressive lens, per lens	0%	61	$0.00
V2744	Tint, photochromatic, per lens	0%	17	$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.