Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Zhou, Alicia

Zhou, Alicia was paid $353K by Medicaid between Aug 2020 and Jun 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.

33Billing provider infoZHOU, ALICIA
MIDDLETOWN, OH 45005
33aNPI1902256332assigned 06/16/2016
33bProvider typeOptometrist
28Total paid$353K
24GClaims19,640
24DCodes billed12
24AFirst – last monthAug 2020 – Jun 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#101 of 1,098
Median peer was paid$41K
This provider vs. median8.6×

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$20K2018201920202021202220232024
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
2020731$24K
20217,024$134K
20225,918$123K
20234,326$62K
2024incomplete1,641$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 2,684 2,627 $103K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 21% 3,508 3,423 $76K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21% 2,161 2,097 $75K
V2020 Frames, purchases 16% 4,036 3,934 $55K
V2784 Lens, polycarbonate or equal, any index, per lens 7.0% 2,779 2,705 $25K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 2.9% 287 285 $10K
92310 1.3% 66 66 $5K
V2299 Specialty bifocal (by report) 1.2% 123 122 $4K
92015 Determination of refractive state 0% 3,121 3,057 $0.00
V2750 Anti-reflective coating, per lens 0% 653 645 $0.00
V2744 Tint, photochromatic, per lens 0% 99 99 $0.00
V2781 Progressive lens, per lens 0% 123 122 $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.