Scarbrough Professional Services, P.C.
Scarbrough Professional Services, P.C. was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is V2020, Frames, purchases — 40% of everything it billed.
33Billing provider infoSCARBROUGH PROFESSIONAL SERVICES, P.C.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1912176892assigned 02/26/2008
33bProvider typeOptometrist
28Total paid$137K
24GClaims5,263
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#122 of 497
Median peer was paid$21K
This provider vs. median6.5×
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 | 842 | $22K | |
| 2019 | 1,743 | $50K | |
| 2020 | 739 | $19K | |
| 2021 | 685 | $16K | |
| 2022 | 714 | $17K | |
| 2023 | 323 | $7K | |
| 2024incomplete | 217 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 40% | 1,825 | 1,819 | $55K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 1,395 | 1,390 | $27K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 18% | 533 | 531 | $25K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 1,136 | 1,133 | $15K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 9.7% | 273 | 273 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 25 | 25 | $874.10 |
| 92341 | <1% | 38 | 38 | $852.10 | |
| 92015 | Determination of refractive state | <1% | 24 | 24 | $268.36 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | 14 | $216.25 |
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.
From NPPES
Who's on the registration
Authorized officialSCARBROUGH, EDWARD (OWNER/PRESIDENT)