Chan, Susana
Chan, Susana was paid $221K by Medicaid between Jan 2018 and Aug 2022, across 14 billing codes. Its largest line is 92015, Determination of refractive state — 21% of everything it billed.
33Billing provider infoCHAN, SUSANA
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
33aNPI1619002854assigned 02/21/2007
33bProvider typeOptometrist
28Total paid$221K
24GClaims9,092
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#34 of 209
Median peer was paid$24K
This provider vs. median9.3×
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 | 2,066 | $51K | |
| 2019 | 1,710 | $42K | |
| 2020 | 1,601 | $38K | |
| 2021 | 2,562 | $62K | |
| 2022 | 1,153 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 21% | 1,768 | 1,652 | $47K |
| V2020 | Frames, purchases | 19% | 1,643 | 1,575 | $41K |
| 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 | 18% | 806 | 768 | $39K |
| 92370 | 11% | 2,097 | 1,983 | $24K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.6% | 562 | 526 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.9% | 1,312 | 1,241 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 278 | 262 | $12K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3.2% | 293 | 277 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.1% | 203 | 194 | $7K |
| 92250 | <1% | 25 | 25 | $861.75 | |
| 92341 | <1% | 37 | 37 | $728.48 | |
| 92342 | <1% | 26 | 26 | $541.60 |
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.