Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Adam, Frank

Adam, Frank was paid $13K by Medicaid between Jan 2018 and Oct 2023, across 8 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 34% of everything it billed.

33Billing provider infoADAM, FRANK
LAKE RONKONKOMA, NY 11779
33aNPI1831219591assigned 03/29/2007
33bProvider typeOptometrist
28Total paid$13K
24GClaims839
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#964 of 1,605
Median peer was paid$29K
This provider vs. median0.4×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018221$542.52
2021203$3K
2022103$2K
2023312$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 34% 259 172 $4K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20% 45 43 $3K
V2020 Frames, purchases 20% 311 308 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.0% 42 41 $1K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8.0% 12 12 $1K
92250 4.7% 13 13 $589.24
92082 3.7% 13 13 $465.40
V2784 Lens, polycarbonate or equal, any index, per lens <1% 144 78 $122.00

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.