Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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O'shea, Susan

O'shea, Susan was paid $66K by Medicaid between Feb 2018 and Jun 2022, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 81% of everything it billed.

33Billing provider infoO'SHEA, SUSAN
BOSTON, MA 02215
33aNPI1821109703assigned 08/31/2006
33bProvider typePediatric Optometrist
28Total paid$66K
24GClaims1,849
24DCodes billed3
24AFirst – last monthFeb 2018 – Jun 2022
Compared with peers

Next to other Pediatric Optometrist providers in Massachusetts

Rank by total paid#4 of 10
Median peer was paid$45K
This provider vs. median1.4×

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$2.0K$4.0K2018201920202021202220232024
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
2018672$25K
2019629$22K
2020257$9K
2021266$8K
202225$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 81% 824 822 $53K
92015 Determination of refractive state 18% 1,013 1,012 $12K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 12 12 $610.33

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.