Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018285$4K
2019144$4K
2020421$9K
2021226$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.