Optometric Associates of Southern Maine PLLC
Optometric Associates of Southern Maine PLLC was paid $178K by Medicaid between Jun 2021 and Nov 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoOPTOMETRIC ASSOCIATES OF SOUTHERN MAINE PLLC
BIDDEFORD, ME 04005
BIDDEFORD, ME 04005
33aNPI1891379749assigned 05/07/2021
33bProvider typeOptometrist
28Total paid$178K
24GClaims6,305
24DCodes billed5
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#26 of 94
Median peer was paid$70K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2021 | 687 | $12K | |
| 2022 | 1,547 | $43K | |
| 2023 | 2,170 | $63K | |
| 2024incomplete | 1,901 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 48% | 1,105 | 1,013 | $85K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 48% | 1,372 | 1,294 | $85K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.4% | 580 | 558 | $8K |
| 92015 | Determination of refractive state | <1% | 3,235 | 3,006 | $402.01 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialLEHOUILLIER, ERIC (PRESIDENT/OPTOMETRIST)