Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Braithwaite, Marc

Braithwaite, Marc was paid $65K by Medicaid between Jul 2018 and Aug 2019, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.

33Billing provider infoBRAITHWAITE, MARC
AUBURN, MA 01501
33aNPI1780641357assigned 04/27/2006
33bProvider typeOptometrist
28Total paid$65K
24GClaims1,846
24DCodes billed7
24AFirst – last monthJul 2018 – Aug 2019
Compared with peers

Next to other Optometrist providers in Massachusetts

Rank by total paid#183 of 629
Median peer was paid$15K
This provider vs. median4.3×

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
2018910$32K
2019936$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 46% 504 502 $30K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 38% 407 407 $24K
92015 Determination of refractive state 11% 864 862 $7K
V2025 Deluxe frame 3.1% 30 29 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1.1% 13 13 $711.00
92310 <1% 15 14 $550.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 13 12 $258.00

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.