Dzibela, Tracy
Dzibela, Tracy was paid $5K by Medicaid between Jan 2018 and Aug 2018, across 5 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 45% of everything it billed.
33Billing provider infoDZIBELA, TRACY
TAPPAHANNOCK, VA 22560
TAPPAHANNOCK, VA 22560
33aNPI1912096314assigned 10/12/2006
33bProvider typeOptometrist
28Total paid$5K
24GClaims114
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#343 of 491
Median peer was paid$23K
This provider vs. median0.2×
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
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 | 114 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 45% | 30 | 30 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 26% | 28 | 28 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 14 | 14 | $630.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 11% | 12 | 12 | $540.00 |
| V2020 | Frames, purchases | 5.4% | 30 | 30 | $262.80 |
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.