Burke, Grace
Burke, Grace was paid $51K by Medicaid between Oct 2018 and Mar 2023, across 9 billing codes. Its largest line is 68761, — 35% of everything it billed.
33Billing provider infoBURKE, GRACE
WATERTOWN, NY 13601
WATERTOWN, NY 13601
33aNPI1821048877assigned 05/11/2006
33bProvider typeOptometrist
28Total paid$51K
24GClaims1,053
24DCodes billed9
24AFirst – last monthOct 2018 – Mar 2023
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#687 of 1,605
Median peer was paid$29K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2018 | 12 | $140.88 | |
| 2019 | 192 | $11K | |
| 2020 | 490 | $25K | |
| 2021 | 299 | $12K | |
| 2022 | 46 | $3K | |
| 2023 | 14 | $438.32 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 68761 | 35% | 176 | 172 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 407 | 375 | $17K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 167 | 167 | $8K |
| 92250 | 6.1% | 146 | 141 | $3K | |
| 0507T | 5.3% | 83 | 83 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.6% | 27 | 26 | $1K |
| 92083 | 1.0% | 12 | 12 | $515.71 | |
| 92015 | Determination of refractive state | <1% | 16 | 16 | $174.16 |
| 92285 | <1% | 19 | 19 | $171.38 |
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.