Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ophthalmology Associates S C

Ophthalmology Associates S C was paid $8K by Medicaid between Nov 2019 and Dec 2023, across 3 billing codes. Its largest line is 92015, Determination of refractive state — 66% of everything it billed.

33Billing provider infoOPHTHALMOLOGY ASSOCIATES S C
GREENFIELD, WI 53220
33aNPI1720543614assigned 02/05/2019
33bProvider typeOptometrist
28Total paid$8K
24GClaims1,062
24DCodes billed3
24AFirst – last monthNov 2019 – Dec 2023
Compared with peers

Next to other Optometrist providers in Wisconsin

Rank by total paid#198 of 412
Median peer was paid$7K
This provider vs. median1.3×

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

$0$1.0K$2.0K2018201920202021202220232024
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
201936$579.07
2020268$3K
2021138$995.09
2022234$1K
2023386$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 66% 951 776 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 95 86 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.0% 16 14 $752.08

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 officialALPREN, THOMAS (OWNER/PHYSICIAN)