Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sala, Nicholas

Sala, Nicholas was paid $549K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is V2020, Frames, purchases — 38% of everything it billed.

33Billing provider infoSALA, NICHOLAS
ERIE, PA 16501
33aNPI1841281714assigned 10/31/2005
33bProvider typeOphthalmology Physician
28Total paid$549K
24GClaims12,704
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#16 of 288
Median peer was paid$7K
This provider vs. median79×

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$10K$20K$30K2018201920202021202220232024
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
201841$1K
2020743$28K
20213,158$126K
20223,003$124K
20232,956$133K
2024incomplete2,803$137K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 38% 2,180 2,156 $206K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 2,512 2,498 $93K
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 16% 1,529 1,520 $86K
92060 9.4% 1,271 1,263 $52K
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 5.9% 332 329 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4.6% 457 452 $25K
92015 Determination of refractive state 4.6% 3,054 3,035 $25K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.9% 171 171 $10K
V2784 Lens, polycarbonate or equal, any index, per lens 1.2% 212 207 $7K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 588 581 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 66 66 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 119 118 $3K
3 more codes
99072 <1% 127 $511.80
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 74 $492.02
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 12 $55.10

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.