Peneiras, Sergio
Peneiras, Sergio was paid $123K by Medicaid between Jan 2018 and Jul 2021, across 16 billing codes. Its largest line is 92250, — 50% of everything it billed.
33Billing provider infoPENEIRAS, SERGIO
MANALAPAN, NJ 07726
MANALAPAN, NJ 07726
33aNPI1558328245assigned 04/27/2006
33bProvider typeOptometrist
28Total paid$123K
24GClaims20,026
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#81 of 599
Median peer was paid$2K
This provider vs. median68×
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 | 7,399 | $44K | |
| 2019 | 8,066 | $53K | |
| 2020 | 3,959 | $24K | |
| 2021 | 602 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 50% | 2,205 | 2,198 | $61K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 955 | 840 | $31K |
| 92082 | 24% | 1,736 | 1,735 | $29K | |
| 92225 | 1.3% | 67 | 67 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,979 | 1,979 | $52.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 799 | 799 | $26.00 |
| V2020 | Frames, purchases | 0% | 2,273 | 2,232 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 1,992 | 1,048 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 313 | 165 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 206 | 206 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 2,041 | 1,038 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 3,961 | 2,033 | $0.00 |
4 more codes
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 1,229 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 84 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 132 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 54 | $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.