Alushi, Edlira
Alushi, Edlira was paid $481K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 36% of everything it billed.
33Billing provider infoALUSHI, EDLIRA
BROOKFIELD, CT 06804
BROOKFIELD, CT 06804
33aNPI1720194756assigned 08/22/2006
33bProvider typeOptometrist
28Total paid$481K
24GClaims10,796
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#95 of 340
Median peer was paid$125K
This provider vs. median3.8×
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 | 1,391 | $63K | |
| 2019 | 1,748 | $80K | |
| 2020 | 1,359 | $62K | |
| 2021 | 1,647 | $72K | |
| 2022 | 1,480 | $65K | |
| 2023 | 1,605 | $69K | |
| 2024incomplete | 1,566 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 36% | 4,822 | 4,622 | $172K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 2,897 | 2,803 | $141K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 1,739 | 1,696 | $114K |
| 92250 | 11% | 1,338 | 1,306 | $54K |
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.