Spolansky, David
Spolansky, David was paid $532K by Medicaid between Sep 2020 and Dec 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoSPOLANSKY, DAVID
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
33aNPI1821150145assigned 12/14/2006
33bProvider typeOptometrist
28Total paid$532K
24GClaims15,711
24DCodes billed11
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#41 of 983
Median peer was paid$20K
This provider vs. median26×
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 | 767 | $25K | |
| 2021 | 3,590 | $110K | |
| 2022 | 4,049 | $140K | |
| 2023 | 3,742 | $131K | |
| 2024incomplete | 3,563 | $126K |
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 | 33% | 3,953 | 3,832 | $176K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 29% | 5,767 | 1,961 | $156K |
| V2020 | Frames, purchases | 29% | 3,931 | 2,790 | $154K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.0% | 409 | 402 | $16K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.2% | 312 | 170 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.3% | 694 | 685 | $7K |
| V2500 | Contact lens, pmma, spherical, per lens | <1% | 52 | 52 | $4K |
| 92310 | <1% | 100 | 96 | $3K | |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 28 | 28 | $3K |
| 92015 | Determination of refractive state | <1% | 410 | 404 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 55 | 17 | $8.00 |
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.