1750377271

1750377271 was paid $108K by Medicaid between Jan 2018 and Oct 2023, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.

33Billing provider info1750377271

33aNPI1750377271

33bProvider type—

28Total paid$108K

24GClaims11,114

24DCodes billed17

24AFirst – last monthJan 2018 – Oct 2023

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	4,990	$25K
2019	3,360	$12K
2020	508	$8K
2021	1,025	$24K
2022	726	$17K
2023	505	$21K

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	34%	1,046	988	$36K
92100		28%	1,814	1,659	$30K
92250		21%	2,215	1,413	$23K
92285		6.2%	2,335	1,415	$7K
S0621	Routine ophthalmological examination including refraction; established patient	4.9%	123	123	$5K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.4%	257	219	$3K
92082		1.6%	510	268	$2K
92083		<1%	87	26	$922.58
92226		<1%	719	318	$729.15
92133		<1%	333	165	$475.21
V2020	Frames, purchases	<1%	15	14	$418.95
92134		<1%	36	17	$6.78

5 more codes

2022F	0%	251	$0.00
2027F	0%	174	$0.00
1036F	0%	1,108	$0.00
4177F	0%	35	$0.00
3284F	0%	56	$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.