Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mauro, Sandra

Mauro, Sandra was paid $264K by Medicaid between Jan 2019 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.

33Billing provider infoMAURO, SANDRA
ORLANDO, FL 32812
33aNPI1700976545assigned 10/13/2006
33bProvider typeOptometrist
28Total paid$264K
24GClaims15,241
24DCodes billed10
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Optometrist providers in Florida

Rank by total paid#78 of 941
Median peer was paid$21K
This provider vs. median12×

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$10K2018201920202021202220232024
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
20192,096$39K
2020990$13K
20211,182$17K
20224,042$71K
20233,984$68K
2024incomplete2,947$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 46% 1,656 1,592 $120K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36% 1,326 1,264 $96K
92340 Fitting of spectacles, except for aphakia; monofocal 5.6% 2,766 2,595 $15K
V2020 Frames, purchases 4.1% 2,864 2,673 $11K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.9% 1,155 1,112 $8K
92015 Determination of refractive state 2.9% 3,097 2,960 $8K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.5% 960 867 $4K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 1,385 1,320 $1K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 14 14 $1K
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% 18 15 $557.43

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.