Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Melara, Candice

Melara, Candice was paid $98K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.

33Billing provider infoMELARA, CANDICE
ABERDEEN, WA 98520
33aNPI1902916703assigned 08/30/2006
33bProvider typeOptometrist
28Total paid$98K
24GClaims4,255
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#154 of 565
Median peer was paid$23K
This provider vs. median4.2×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018540$14K
2019289$5K
202047$1K
2021420$14K
2022682$24K
20231,201$23K
2024incomplete1,076$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 56% 971 938 $54K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 473 447 $17K
92015 Determination of refractive state 8.9% 1,162 1,131 $9K
92340 Fitting of spectacles, except for aphakia; monofocal 8.4% 824 795 $8K
92250 6.3% 511 456 $6K
92083 3.8% 301 250 $4K
92134 <1% 13 12 $148.08

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.