Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Advanced Clinical Eyecare of Southern Maine, P.C.

Advanced Clinical Eyecare of Southern Maine, P.C. was paid $376K by Medicaid between Mar 2019 and Dec 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.

33Billing provider infoADVANCED CLINICAL EYECARE OF SOUTHERN MAINE, P.C.
SOUTH PORTLAND, ME 04106
33aNPI1679044739assigned 12/16/2018
33bProvider typeOptometrist
28Total paid$376K
24GClaims11,420
24DCodes billed9
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers

Next to other Optometrist providers in Maine

Rank by total paid#16 of 94
Median peer was paid$70K
This provider vs. median5.4×

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
2019736$22K
20201,200$36K
20212,237$67K
20222,147$76K
20232,258$78K
2024incomplete2,842$97K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 1,451 1,429 $109K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20% 1,164 1,143 $74K
92082 19% 2,550 2,510 $71K
92250 17% 2,507 2,464 $66K
92341 8.0% 1,796 1,767 $30K
92340 Fitting of spectacles, except for aphakia; monofocal 6.8% 1,442 1,238 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 12 12 $605.12
92015 Determination of refractive state <1% 485 484 $391.06
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 12 $196.90

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.

From NPPES

Who's on the registration

Authorized officialOLMES, JONATHAN (PRESIDENT)