Pugliese, John
Pugliese, John was paid $151K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 92250, — 28% of everything it billed.
33Billing provider infoPUGLIESE, JOHN
LINCOLN, RI 02865
LINCOLN, RI 02865
33aNPI1588789804assigned 03/20/2007
33bProvider typeOptometrist
28Total paid$151K
24GClaims5,634
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#41 of 209
Median peer was paid$24K
This provider vs. median6.3×
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 | 1,249 | $34K | |
| 2019 | 482 | $13K | |
| 2020 | 545 | $14K | |
| 2021 | 1,400 | $37K | |
| 2022 | 738 | $19K | |
| 2023 | 1,012 | $27K | |
| 2024incomplete | 208 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 28% | 1,279 | 1,229 | $42K | |
| 92015 | Determination of refractive state | 20% | 1,248 | 1,187 | $30K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13% | 566 | 456 | $19K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 509 | 485 | $18K |
| V2020 | Frames, purchases | 9.6% | 895 | 839 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.9% | 749 | 695 | $12K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.8% | 210 | 191 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.3% | 46 | 42 | $2K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 132 | 116 | $1K |
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.