Semenick, Kristen
Semenick, Kristen was paid $225K by Medicaid between Feb 2018 and Dec 2021, across 15 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 28% of everything it billed.
33Billing provider infoSEMENICK, KRISTEN
DOVER, DE 19904
DOVER, DE 19904
33aNPI1700851383assigned 02/17/2006
33bProvider typeOptometrist
28Total paid$225K
24GClaims5,821
24DCodes billed15
24AFirst – last monthFeb 2018 – Dec 2021
Compared with peers
Next to other Optometrist providers in Delaware
Rank by total paid#15 of 61
Median peer was paid$31K
This provider vs. median7.2×
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 | 478 | $3K | |
| 2019 | 1,839 | $33K | |
| 2020 | 1,668 | $90K | |
| 2021 | 1,836 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 28% | 1,069 | 1,032 | $63K |
| V2020 | Frames, purchases | 27% | 1,769 | 1,668 | $61K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.5% | 748 | 706 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.6% | 171 | 158 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.8% | 481 | 448 | $13K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 4.1% | 305 | 287 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 131 | 129 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.7% | 191 | 154 | $8K |
| 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 | 3.4% | 78 | 77 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.1% | 328 | 288 | $7K |
| 92015 | Determination of refractive state | 2.3% | 462 | 409 | $5K |
| S0500 | Disposable contact lens, per lens | 1.3% | 30 | 26 | $3K |
3 more codes
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.