Gutierrez, Susana
Gutierrez, Susana was paid $10K by Medicaid between Oct 2024 and Dec 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoGUTIERREZ, SUSANA
KINGSTON, PA 18704
KINGSTON, PA 18704
33aNPI1881426443assigned 08/14/2024
33bProvider typeOptometrist
28Total paid$10K
24GClaims338
24DCodes billed7
24AFirst – last monthOct 2024 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#603 of 983
Median peer was paid$20K
This provider vs. median0.5×
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
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 | |
|---|---|---|---|
| 2024incomplete | 338 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 38% | 50 | 50 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 16 | 16 | $1K |
| 92015 | Determination of refractive state | 14% | 78 | 78 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14% | 44 | 22 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 57 | 34 | $997.50 |
| V2020 | Frames, purchases | 5.0% | 68 | 67 | $476.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.9% | 25 | 16 | $375.00 |
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.