Physician
Ogiste, Estela
Ogiste, Estela was paid $21K by Medicaid between Jan 2018 and May 2021, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.
33Billing provider infoOGISTE, ESTELA
NORTH ADAMS, MA 01247
NORTH ADAMS, MA 01247
33aNPI1780684902assigned 07/29/2005
33bProvider typeOphthalmology Physician
28Total paid$21K
24GClaims1,076
24DCodes billed11
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Ophthalmology Physician providers in Massachusetts
Rank by total paid#97 of 203
Median peer was paid$18K
This provider vs. median1.2×
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
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 | 285 | $4K | |
| 2019 | 144 | $4K | |
| 2020 | 421 | $9K | |
| 2021 | 226 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 56% | 398 | 392 | $12K |
| V2020 | Frames, purchases | 24% | 280 | 278 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.7% | 68 | 68 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.3% | 40 | 40 | $1K |
| 92133 | 2.3% | 54 | 53 | $500.37 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.6% | 12 | 12 | $351.15 |
| 92275 | <1% | 14 | 14 | $211.77 | |
| 92015 | Determination of refractive state | <1% | 164 | 164 | $142.45 |
| 92100 | <1% | 16 | 16 | $59.30 | |
| 92083 | <1% | 15 | 15 | $23.15 | |
| 76514 | <1% | 15 | 15 | $20.92 |
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.