Romaine, Leon
Romaine, Leon was paid $56K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoROMAINE, LEON
HOUSE SPRINGS, MO 63051
HOUSE SPRINGS, MO 63051
33aNPI1922004928assigned 06/23/2005
33bProvider typeOptometrist
28Total paid$56K
24GClaims3,418
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#143 of 547
Median peer was paid$19K
This provider vs. median2.9×
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 | 1,994 | $28K | |
| 2019 | 1,254 | $25K | |
| 2020 | 170 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 490 | 387 | $19K |
| V2020 | Frames, purchases | 22% | 764 | 610 | $12K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 16% | 512 | 421 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 208 | 147 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.1% | 515 | 407 | $5K |
| 92015 | Determination of refractive state | 6.5% | 902 | 716 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 27 | 27 | $316.10 |
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.