Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Perka, Thomas

Perka, Thomas was paid $91K by Medicaid between Oct 2020 and May 2024, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 42% of everything it billed.

33Billing provider infoPERKA, THOMAS
VERONA, PA 15147
33aNPI1851308555assigned 08/02/2006
33bProvider typeOptometrist
28Total paid$91K
24GClaims2,425
24DCodes billed5
24AFirst – last monthOct 2020 – May 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#249 of 983
Median peer was paid$20K
This provider vs. median4.5×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020106$3K
2021636$22K
2022580$22K
2023755$30K
2024incomplete348$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 42% 1,282 1,238 $38K
V2020 Frames, purchases 37% 511 502 $34K
S0620 Routine ophthalmological examination including refraction; new patient 12% 349 341 $10K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 8.3% 271 270 $8K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 12 12 $368.05

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.