Nielsen, Craig
Nielsen, Craig was paid $430K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 25% of everything it billed.
33Billing provider infoNIELSEN, CRAIG
MERIDEN, CT 06450
MERIDEN, CT 06450
33aNPI1558349738assigned 01/06/2006
33bProvider typeOptometrist
28Total paid$430K
24GClaims13,380
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#101 of 340
Median peer was paid$125K
This provider vs. median3.4×
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 | 1,619 | $52K | |
| 2019 | 1,963 | $62K | |
| 2020 | 1,750 | $58K | |
| 2021 | 1,910 | $61K | |
| 2022 | 2,161 | $68K | |
| 2023 | 2,093 | $67K | |
| 2024incomplete | 1,884 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 25% | 3,197 | 2,947 | $110K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 2,018 | 1,869 | $94K |
| V2020 | Frames, purchases | 16% | 2,572 | 2,369 | $71K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 2,263 | 2,088 | $46K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 9.4% | 1,486 | 1,391 | $41K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.2% | 1,280 | 1,179 | $35K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.0% | 550 | 510 | $34K |
| 92341 | <1% | 14 | 14 | $318.63 |
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.