Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Optical Expressions Berlin, LLC

Optical Expressions Berlin, LLC was paid $405K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.

33Billing provider infoOPTICAL EXPRESSIONS BERLIN, LLC
BARRE, VT 05641
33aNPI1740442417assigned 06/25/2008
33bProvider typeOptometrist
28Total paid$405K
24GClaims9,162
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Vermont

Rank by total paid#6 of 55
Median peer was paid$39K
This provider vs. median10×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,342$57K
20191,304$50K
2020934$34K
20211,732$84K
20221,273$57K
20231,332$66K
2024incomplete1,245$57K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 38% 1,319 1,277 $155K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 33% 1,370 1,329 $135K
92015 Determination of refractive state 20% 5,296 5,104 $82K
92340 Fitting of spectacles, except for aphakia; monofocal 8.3% 1,177 1,145 $34K

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 officialBOYLE, SALLY (OFFICE MANAGER)