1710976022

1710976022 was paid $47K by Medicaid between May 2021 and Apr 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.

33Billing provider info1710976022

33aNPI1710976022

33bProvider type—

28Total paid$47K

24GClaims1,509

24DCodes billed8

24AFirst – last monthMay 2021 – Apr 2024

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
2021	203	$4K
2022	508	$15K
2023	595	$20K
2024incomplete	203	$9K

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	46%	373	366	$22K
V2020	Frames, purchases	31%	346	340	$15K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	7.5%	68	68	$4K
92015	Determination of refractive state	6.7%	587	585	$3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	5.7%	61	61	$3K
V2784	Lens, polycarbonate or equal, any index, per lens	2.1%	33	32	$1K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	<1%	12	12	$100.00
2033F		0%	29	29	$0.00

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.