Zervas, Helen
Zervas, Helen was paid $1.64M by Medicaid between Jan 2018 and Jun 2021, across 31 billing codes. Its largest line is 92015, Determination of refractive state — 14% of everything it billed.
33Billing provider infoZERVAS, HELEN
BRISTOL, CT 06010
BRISTOL, CT 06010
33aNPI1831266576assigned 11/29/2006
33bProvider typeOptometrist
28Total paid$1.64M
24GClaims67,042
24DCodes billed31
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#28 of 340
Median peer was paid$125K
This provider vs. median13×
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 | 23,817 | $623K | |
| 2019 | 23,952 | $532K | |
| 2020 | 12,675 | $323K | |
| 2021 | 6,598 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 14% | 7,211 | 6,363 | $235K |
| 92250 | 9.8% | 4,397 | 3,943 | $161K | |
| 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 | 9.0% | 2,983 | 2,641 | $147K |
| V2020 | Frames, purchases | 8.5% | 5,491 | 4,784 | $138K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.1% | 7,372 | 3,398 | $100K |
| 65778 | 6.0% | 140 | 127 | $98K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 5.6% | 7,242 | 3,164 | $91K |
| 92285 | 4.5% | 3,647 | 3,298 | $74K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.2% | 1,509 | 1,366 | $69K |
| 83861 | 4.0% | 5,244 | 2,401 | $66K | |
| 92283 | 3.1% | 2,713 | 2,462 | $51K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 889 | 782 | $51K |
19 more codes
| 92226 | 3.0% | 5,042 | $50K | |
| 99203 | Doctor's office visit, new patient (routine) | 2.9% | 918 | $48K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.8% | 2,607 | $45K |
| 99213 | Doctor's office visit, returning patient (routine) | 2.1% | 1,094 | $35K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.8% | 1,924 | $29K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.7% | 377 | $28K |
| 92083 | 1.6% | 730 | $26K | |
| 92225 | 1.5% | 2,293 | $25K | |
| 92020 | 1.2% | 1,668 | $19K | |
| 95930 | <1% | 233 | $12K | |
| 92275 | <1% | 223 | $12K | |
| 92134 | <1% | 310 | $6K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 268 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 218 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 117 | $4K |
| 92133 | <1% | 71 | $2K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 63 | $1K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 29 | $604.53 |
| 92341 | <1% | 19 | $387.20 |
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.