Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ZERVAS, HELEN

NPI: 1831266576 · BRISTOL, CT 06010 · Optometrist · NPI assigned 11/29/2006

$1.64M
Total Medicaid Paid
67,042
Total Claims
46,037
Beneficiaries
31
Codes Billed
2018-01
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,817 $623K
2019 23,952 $532K
2020 12,675 $323K
2021 6,598 $157K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 7,211 6,363 $235K
92250 4,397 3,943 $161K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,983 2,641 $147K
V2020 Frames, purchases 5,491 4,784 $138K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7,372 3,398 $100K
65778 140 127 $98K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 7,242 3,164 $91K
92285 3,647 3,298 $74K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,509 1,366 $69K
83861 5,244 2,401 $66K
92283 2,713 2,462 $51K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 889 782 $51K
92226 5,042 2,289 $50K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 918 834 $48K
92340 Fitting of spectacles, except for aphakia; monofocal 2,607 2,230 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,094 914 $35K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,924 1,062 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 377 321 $28K
92083 730 642 $26K
92225 2,293 1,060 $25K
92020 1,668 775 $19K
95930 233 211 $12K
92275 223 203 $12K
92134 310 279 $6K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 268 126 $6K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 218 110 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 117 109 $4K
92133 71 67 $2K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 63 43 $1K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 29 17 $604.53
92341 19 16 $387.20