Sugawara, Alfred
Sugawara, Alfred was paid $63K by Medicaid between Feb 2020 and Nov 2022, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoSUGAWARA, ALFRED
FAIRFIELD, OH 45014
FAIRFIELD, OH 45014
33aNPI1780724823assigned 02/07/2007
33bProvider typeOptometrist
28Total paid$63K
24GClaims3,549
24DCodes billed8
24AFirst – last monthFeb 2020 – Nov 2022
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#455 of 1,098
Median peer was paid$41K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 557 | $9K | |
| 2021 | 1,459 | $26K | |
| 2022 | 1,533 | $28K |
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 | 34% | 502 | 501 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 342 | 342 | $15K |
| V2020 | Frames, purchases | 23% | 883 | 878 | $15K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 358 | 355 | $7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 7.0% | 393 | 390 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 24 | 24 | $480.00 |
| 92015 | Determination of refractive state | 0% | 989 | 985 | $0.00 |
| V2755 | U-v lens, per lens | 0% | 58 | 58 | $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.