Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rockville Pike Optometry, LLC

Rockville Pike Optometry, LLC was paid $194K by Medicaid between Feb 2021 and Nov 2024, across 12 billing codes. Its largest line is V2020, Frames, purchases — 30% of everything it billed.

33Billing provider infoROCKVILLE PIKE OPTOMETRY, LLC
ROCKVILLE, MD 20852
33aNPI1710043278assigned 12/29/2006
33bProvider typeOptometrist
28Total paid$194K
24GClaims10,240
24DCodes billed12
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers

Next to other Optometrist providers in Maryland

Rank by total paid#46 of 345
Median peer was paid$27K
This provider vs. median7.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2021461$9K
2022880$22K
20234,738$88K
2024incomplete4,161$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 30% 2,165 2,102 $58K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28% 1,677 1,490 $53K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 18% 1,738 1,694 $35K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 664 607 $27K
92015 Determination of refractive state 4.8% 1,674 1,574 $9K
V2784 Lens, polycarbonate or equal, any index, per lens 2.8% 1,330 1,298 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 1.1% 95 93 $2K
V2520 Contact lens, hydrophilic, spherical, per lens <1% 14 14 $2K
92310 <1% 14 12 $834.24
S0621 Routine ophthalmological examination including refraction; established patient <1% 13 13 $585.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 12 12 $360.00
V2750 Anti-reflective coating, per lens <1% 844 827 $84.00

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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.