Codman Eye Care Affiliates -South Shore INC
Codman Eye Care Affiliates -South Shore INC was paid $332K by Medicaid between Dec 2018 and Dec 2024, across 8 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 40% of everything it billed.
33Billing provider infoCODMAN EYE CARE AFFILIATES -SOUTH SHORE INC
RANDOLPH, MA 02368
RANDOLPH, MA 02368
33aNPI1679062335assigned 05/08/2018
33bProvider typeOptometrist
28Total paid$332K
24GClaims10,311
24DCodes billed8
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#64 of 629
Median peer was paid$15K
This provider vs. median22×
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 | 78 | $2K | |
| 2019 | 775 | $19K | |
| 2020 | 1,008 | $29K | |
| 2021 | 1,461 | $45K | |
| 2022 | 1,746 | $53K | |
| 2023 | 2,481 | $84K | |
| 2024incomplete | 2,762 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 40% | 4,509 | 3,867 | $132K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 1,155 | 1,151 | $80K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 1,529 | 1,519 | $77K |
| 92015 | Determination of refractive state | 12% | 3,041 | 3,017 | $39K |
| 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 | <1% | 28 | 27 | $1K |
| 92341 | <1% | 24 | 24 | $877.68 | |
| 92133 | <1% | 12 | 12 | $258.56 | |
| 1036F | 0% | 13 | 13 | $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.
From NPPES
Who's on the registration
Authorized officialHUYNH, ANDY (MANAGING OPTOMETRIST)