Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Joel, David

Joel, David was paid $1.04M by Medicaid between Jan 2018 and Dec 2019, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.

33Billing provider infoJOEL, DAVID
NEW HAVEN, CT 06515
33aNPI1861484081assigned 08/16/2005
33bProvider typeOptometrist
28Total paid$1.04M
24GClaims32,284
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Optometrist providers in Connecticut

Rank by total paid#51 of 340
Median peer was paid$125K
This provider vs. median8.4×

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$25K$50K$75K2018201920202021202220232024
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
201816,679$540K
201915,605$504K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 4,817 4,683 $234K
92015 Determination of refractive state 20% 5,856 5,651 $212K
V2020 Frames, purchases 16% 5,756 5,539 $164K
92340 Fitting of spectacles, except for aphakia; monofocal 10% 5,014 4,838 $104K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 9.9% 3,494 3,385 $103K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 7.6% 2,827 2,739 $79K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.9% 691 676 $41K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.1% 781 745 $33K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.5% 1,181 1,156 $27K
92341 2.0% 895 849 $20K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 1.0% 284 277 $10K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 365 356 $10K
5 more codes
92250 <1% 56 $2K
92133 <1% 81 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 80 $2K
92134 <1% 79 $1K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 27 $868.00

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.