Peter E Sforza JR Od INC
Peter E Sforza JR Od INC was paid $55K by Medicaid between Jan 2018 and May 2022, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoPETER E SFORZA JR OD INC
GIRARD, OH 44420
GIRARD, OH 44420
33aNPI1700068608assigned 12/03/2007
33bProvider typeOptometrist
28Total paid$55K
24GClaims1,898
24DCodes billed8
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#486 of 1,098
Median peer was paid$41K
This provider vs. median1.3×
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 | 764 | $22K | |
| 2019 | 852 | $27K | |
| 2020 | 132 | $4K | |
| 2021 | 42 | $604.07 | |
| 2022 | 108 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 461 | 450 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 623 | 617 | $13K |
| 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% | 176 | 171 | $10K |
| 92015 | Determination of refractive state | 14% | 461 | 452 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.9% | 64 | 62 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 46 | 44 | $2K |
| 92341 | 1.6% | 42 | 40 | $910.84 | |
| 92250 | <1% | 25 | 24 | $540.52 |
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 officialSFORZA, PETER (PRES)