Luster, Whitney
Luster, Whitney was paid $73K by Medicaid between Jan 2019 and Nov 2024, across 17 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 41% of everything it billed.
33Billing provider infoLUSTER, WHITNEY
RUSKIN, FL 33570
RUSKIN, FL 33570
33aNPI1912382086assigned 07/29/2015
33bProvider typeOptometrist
28Total paid$73K
24GClaims5,028
24DCodes billed17
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#285 of 941
Median peer was paid$21K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2019 | 815 | $14K | |
| 2020 | 602 | $9K | |
| 2021 | 1,053 | $16K | |
| 2022 | 756 | $11K | |
| 2023 | 1,198 | $13K | |
| 2024incomplete | 604 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 41% | 795 | 655 | $30K |
| 92015 | Determination of refractive state | 16% | 860 | 834 | $11K |
| 92341 | 13% | 252 | 221 | $10K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 207 | 156 | $9K |
| 1036F | 6.8% | 837 | 724 | $5K | |
| V2020 | Frames, purchases | 6.2% | 396 | 357 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.9% | 31 | 31 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 16 | 16 | $945.12 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.1% | 39 | 26 | $811.30 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 190 | 165 | $106.98 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 253 | 223 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 79 | 53 | $0.00 |
5 more codes
| 2022F | 0% | 33 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 755 | $0.00 |
| V2755 | U-v lens, per lens | 0% | 241 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 31 | $0.00 |
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.