1700821592

1700821592 was paid $220K by Medicaid between May 2019 and Dec 2022, across 7 billing codes. Its largest line is V2020, Frames, purchases — 28% of everything it billed.

33Billing provider info1700821592

33aNPI1700821592

33bProvider type—

28Total paid$220K

24GClaims7,654

24DCodes billed7

24AFirst – last monthMay 2019 – Dec 2022

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
2019	1,365	$40K
2020	2,079	$58K
2021	2,915	$85K
2022	1,295	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	28%	1,252	1,241	$63K
V2199	Not otherwise classified, single vision lens	22%	1,260	1,247	$48K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	18%	621	619	$39K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	11%	373	369	$24K
V2784	Lens, polycarbonate or equal, any index, per lens	8.9%	1,241	1,229	$20K
92340	Fitting of spectacles, except for aphakia; monofocal	8.7%	1,273	1,257	$19K
92015	Determination of refractive state	3.7%	1,634	1,628	$8K

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.