1831115914

1831115914 was paid $92K by Medicaid between Jan 2018 and Sep 2019, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 26% of everything it billed.

33Billing provider info1831115914

33aNPI1831115914

33bProvider type—

28Total paid$92K

24GClaims5,803

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2019

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	3,845	$57K
2019	1,958	$34K

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	26%	1,178	1,178	$24K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	24%	393	393	$22K
V2020	Frames, purchases	17%	1,284	1,284	$15K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	13%	809	697	$12K
V2784	Lens, polycarbonate or equal, any index, per lens	12%	662	493	$11K
92015	Determination of refractive state	4.2%	875	875	$4K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	3.9%	196	169	$4K
V2599	Contact lens, other type	0%	24	24	$0.00
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	0%	246	123	$0.00
S0620	Routine ophthalmological examination including refraction; new patient	0%	136	136	$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.