Bosco, Jay
Bosco, Jay was paid $125K by Medicaid between Jan 2018 and Mar 2020, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoBOSCO, JAY
ESSEXVILLE, MI 48732
ESSEXVILLE, MI 48732
33aNPI1649274101assigned 06/10/2005
33bProvider typeOptometrist
28Total paid$125K
24GClaims7,382
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#133 of 497
Median peer was paid$21K
This provider vs. median5.9×
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 | 3,533 | $60K | |
| 2019 | 3,333 | $57K | |
| 2020 | 516 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 499 | 492 | $36K |
| V2020 | Frames, purchases | 22% | 882 | 866 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 456 | 444 | $24K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 851 | 837 | $17K |
| 92015 | Determination of refractive state | 8.8% | 1,078 | 1,057 | $11K |
| 92341 | 4.2% | 235 | 231 | $5K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.5% | 574 | 389 | $3K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 26 | 26 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 134 | 91 | $657.60 |
| V2756 | Eye glass case | <1% | 14 | 14 | $0.81 |
| 1036F | 0% | 659 | 636 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 584 | 564 | $0.00 |
4 more codes
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 199 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 648 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 430 | $0.00 |
| 4004F | 0% | 113 | $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.