Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Roffer, Joel

Roffer, Joel was paid $14K by Medicaid between Jan 2018 and Aug 2018, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 43% of everything it billed.

33Billing provider infoROFFER, JOEL
NEWINGTON, CT 06111
33aNPI1902946957assigned 02/07/2007
33bProvider typeOptometrist
28Total paid$14K
24GClaims405
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Optometrist providers in Connecticut

Rank by total paid#253 of 340
Median peer was paid$125K
This provider vs. median0.1×

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
2018405$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 43% 156 153 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 18% 50 49 $2K
V2020 Frames, purchases 16% 76 74 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 79 78 $2K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 7.0% 32 32 $943.36
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.1% 12 12 $421.20

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.