Felix, Bruce
Felix, Bruce was paid $176K by Medicaid between Jan 2020 and Dec 2024, across 6 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 60% of everything it billed.
33Billing provider infoFELIX, BRUCE
EBENSBURG, PA 15931
EBENSBURG, PA 15931
33aNPI1811094352assigned 09/19/2006
33bProvider typeOptometrist
28Total paid$176K
24GClaims4,110
24DCodes billed6
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#150 of 983
Median peer was paid$20K
This provider vs. median8.7×
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 | 155 | $7K | |
| 2021 | 817 | $35K | |
| 2022 | 826 | $36K | |
| 2023 | 1,045 | $45K | |
| 2024incomplete | 1,267 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 60% | 2,336 | 2,282 | $105K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 27% | 1,042 | 1,003 | $47K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.4% | 260 | 260 | $11K |
| S0592 | Comprehensive contact lens evaluation | 4.9% | 265 | 265 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.8% | 67 | 67 | $3K |
| 92015 | Determination of refractive state | <1% | 140 | 140 | $1K |
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.