Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Powell-Rivers, Carolyn

Powell-Rivers, Carolyn was paid $542K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.

33Billing provider infoPOWELL-RIVERS, CAROLYN
STATEN ISLAND, NY 10304
33aNPI1598741076assigned 12/16/2005
33bProvider typeOptometrist
28Total paid$542K
24GClaims40,287
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#193 of 1,605
Median peer was paid$29K
This provider vs. median19×

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$5.0K$10K$15K2018201920202021202220232024
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
20188,138$100K
20195,972$78K
20206,595$73K
20214,998$68K
20225,568$81K
20234,711$68K
2024incomplete4,305$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 41% 5,730 5,678 $221K
V2020 Frames, purchases 20% 8,954 8,694 $111K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13% 4,114 2,900 $70K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 11% 3,334 2,294 $60K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.8% 1,105 840 $26K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 4.4% 913 619 $24K
V2784 Lens, polycarbonate or equal, any index, per lens 2.0% 7,941 4,930 $11K
92340 Fitting of spectacles, except for aphakia; monofocal 1.2% 1,661 1,594 $7K
92341 <1% 534 523 $5K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 162 101 $3K
S0620 Routine ophthalmological examination including refraction; new patient <1% 80 79 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 69 69 $1K
3 more codes
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 16 $289.24
V2745 Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens <1% 1,049 $276.40
92015 Determination of refractive state 0% 4,625 $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.