Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Winter Haven › NPI 1588728539

Ismail, Esaam

Ismail, Esaam was paid $347K by Medicaid between Jan 2019 and Aug 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.

33Billing provider infoISMAIL, ESAAM
WINTER HAVEN, FL 33880
33aNPI1588728539assigned 12/21/2006
33bProvider typeOptometrist
28Total paid$347K
24GClaims18,805
24DCodes billed16
24AFirst – last monthJan 2019 – Aug 2024
Compared with peers

Next to other Optometrist providers in Florida

Rank by total paid#54 of 941
Median peer was paid$21K
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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20191,170$25K
2020829$16K
20213,195$62K
20228,726$155K
20234,599$83K
2024incomplete286$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 34% 2,661 2,535 $118K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 1,371 1,306 $100K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 19% 1,906 1,776 $66K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 6.2% 731 675 $21K
V2020 Frames, purchases 4.5% 2,751 2,591 $15K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 2.7% 374 346 $9K
V2599 Contact lens, other type 1.9% 43 42 $6K
92340 Fitting of spectacles, except for aphakia; monofocal 1.5% 3,311 3,107 $5K
92015 Determination of refractive state <1% 3,860 3,704 $3K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 28 25 $2K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 36 36 $1K
92310 <1% 27 26 $35.00
4 more codes
92341 <1% 56 $29.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 624 $10.00
V2025 Deluxe frame 0% 763 $0.00
V2750 Anti-reflective coating, per lens 0% 263 $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.