Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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O'brien, Sean

O'brien, Sean was paid $2K by Medicaid between May 2024 and Oct 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 63% of everything it billed.

33Billing provider infoO'BRIEN, SEAN
MIDDLEFIELD, OH 44062
33aNPI1598248635assigned 09/14/2018
33bProvider typeOptometrist
28Total paid$2K
24GClaims129
24DCodes billed3
24AFirst – last monthMay 2024 – Oct 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#958 of 1,098
Median peer was paid$41K
This provider vs. median0.0×

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$250$500$7502018201920202021202220232024
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
2024incomplete129$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 63% 28 27 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28% 12 12 $515.52
92015 Determination of refractive state 8.7% 89 87 $160.56

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.