Roberts, Estelle

Roberts, Estelle was paid $36K by Medicaid between Jan 2018 and Nov 2021, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.

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	970	$12K
2019	1,487	$12K
2020	1,198	$6K
2021	1,103	$6K

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	52%	1,015	1,014	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	292	269	$9K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	12%	824	824	$4K
92015	Determination of refractive state	4.1%	397	397	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.5%	46	41	$1K
V2020	Frames, purchases	<1%	1,168	1,148	$348.00
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	14	14	$200.00
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	508	256	$76.00
S0621	Routine ophthalmological examination including refraction; established patient	0%	12	12	$0.00
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	0%	430	212	$0.00
S0620	Routine ophthalmological examination including refraction; new patient	0%	16	16	$0.00
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	0%	36	16	$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.