Andrew Balfour & Robert Shapiro
Andrew Balfour & Robert Shapiro was paid $433K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 23% of everything it billed.
33Billing provider infoANDREW BALFOUR & ROBERT SHAPIRO
LOS ANGELES, CA 90013
LOS ANGELES, CA 90013
33aNPI1740357698assigned 11/29/2006
33bProvider typeOptometrist
28Total paid$433K
24GClaims39,258
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#164 of 1,899
Median peer was paid$23K
This provider vs. median19×
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 | 2,819 | $10K | |
| 2019 | 4,190 | $33K | |
| 2020 | 5,196 | $60K | |
| 2021 | 5,448 | $56K | |
| 2022 | 6,614 | $72K | |
| 2023 | 7,768 | $82K | |
| 2024incomplete | 7,223 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 23% | 9,744 | 9,680 | $101K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 5,691 | 5,687 | $100K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 4,410 | 4,407 | $86K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 6,984 | 6,904 | $74K |
| 92341 | 8.4% | 2,354 | 2,345 | $36K | |
| 92015 | Determination of refractive state | 8.1% | 10,020 | 10,013 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 55 | 52 | $615.60 |
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 officialSHAPIRO, ROBERT (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Shapiro Educational & Behavioral Consultants, LLC | Lunenburg, MA | $14.99M |
| Physicians of University Hospital PC | Staten Island, NY | $10K |
| North Shore - Lij Medical PC | New Hyde Park, NY | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.