Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Professional Provider Enterprise LLC

Professional Provider Enterprise LLC was paid $313K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.

33Billing provider infoPROFESSIONAL PROVIDER ENTERPRISE LLC
OMAHA, NE 68154
33aNPI1770852196assigned 12/14/2011
33bProvider typeOptometrist
28Total paid$313K
24GClaims28,047
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Nebraska

Rank by total paid#34 of 178
Median peer was paid$51K
This provider vs. median6.2×

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$10K2018201920202021202220232024
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
20185,587$29K
20195,817$51K
20202,104$30K
20213,689$49K
20223,340$28K
20233,929$60K
2024incomplete3,581$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 35% 3,869 3,166 $109K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 3,615 3,087 $54K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 16% 2,724 2,295 $52K
92015 Determination of refractive state 9.8% 8,653 7,205 $31K
99308 Subsequent nursing facility care, per day, straightforward 9.0% 4,517 3,664 $28K
99310 Prolong nursin fac eval 15m 8.5% 1,839 1,507 $27K
92340 Fitting of spectacles, except for aphakia; monofocal 1.9% 266 266 $6K
V2020 Frames, purchases <1% 113 113 $2K
92250 <1% 167 138 $2K
92285 <1% 486 399 $2K
99350 Prolong home eval add 15m <1% 36 31 $541.55
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 26 26 $406.34
10 more codes
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 112 $239.65
99337 <1% 84 $190.94
99335 <1% 29 $69.36
99213 Doctor's office visit, returning patient (routine) <1% 21 $57.58
V2756 Eye glass case <1% 72 $56.92
3284F 0% 852 $0.00
4177F 0% 58 $0.00
2022F 0% 37 $0.00
G9974 Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity 0% 45 $0.00
2027F 0% 426 $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.

From NPPES

Who's on the registration

Authorized officialROSENBAUM, JOHN (CCO)
Same official

Other billing entities under ROSENBAUM, JOHN

Full network →
ProviderLocationPaid
Aria Eye Care, LLCOmaha, NE$1.96M
Erin Rake, DDS, P.C.Raleigh, NC$1.65M
Senior Vision Services LLCOmaha, NE$1.55M
Aria Vision Care, LLCOverland Park, KS$869K
Aria Dental Care, P.C.Overland Park, KS$77K
Doug Streifel LLCOmaha, NE$43K
Aria Vision Care, P.A.Plantation, FL$24K
Aria Podiatry Care PLLCMiddleburg, FL$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.