Pogue, Nicole
Pogue, Nicole was paid $5K by Medicaid between Apr 2019 and Nov 2024, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 69% of everything it billed.
33Billing provider infoPOGUE, NICOLE
ROXBURY, MA 02119
ROXBURY, MA 02119
33aNPI1710241864assigned 07/03/2012
33bProvider typeOptometrist
28Total paid$5K
24GClaims275
24DCodes billed3
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#394 of 629
Median peer was paid$15K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 26 | $2K | |
| 2020 | 13 | $987.48 | |
| 2021 | 45 | $239.50 | |
| 2022 | 117 | $1K | |
| 2023 | 27 | $162.80 | |
| 2024incomplete | 47 | $518.35 |
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 | 69% | 81 | 77 | $3K |
| 92015 | Determination of refractive state | 20% | 141 | 141 | $978.33 |
| V2020 | Frames, purchases | 11% | 53 | 53 | $534.00 |
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.