Paine, Ashley
Paine, Ashley was paid $362K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.
33Billing provider infoPAINE, ASHLEY
SOMERVILLE, MA 02143
SOMERVILLE, MA 02143
33aNPI1902344302assigned 02/06/2017
33bProvider typeOptometrist
28Total paid$362K
24GClaims8,980
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#57 of 629
Median peer was paid$15K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2018 | 1,179 | $44K | |
| 2019 | 1,250 | $44K | |
| 2020 | 918 | $34K | |
| 2021 | 1,262 | $52K | |
| 2022 | 1,651 | $69K | |
| 2023 | 1,454 | $58K | |
| 2024incomplete | 1,266 | $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 | 46% | 2,377 | 2,377 | $167K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 1,821 | 1,820 | $95K |
| 92015 | Determination of refractive state | 15% | 4,165 | 4,165 | $54K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.5% | 238 | 233 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 321 | 318 | $16K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3.8% | 58 | 25 | $14K |
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.