Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Scharff, Earle

Scharff, Earle was paid $63K by Medicaid between Jan 2018 and Aug 2022, across 11 billing codes. Its largest line is 92015, Determination of refractive state — 44% of everything it billed.

33Billing provider infoSCHARFF, EARLE
WARWICK, RI 02886
33aNPI1982637153assigned 07/09/2006
33bProvider typeOptometrist
28Total paid$63K
24GClaims2,682
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Optometrist providers in Rhode Island

Rank by total paid#60 of 209
Median peer was paid$24K
This provider vs. median2.6×

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
20181,105$25K
2019706$15K
2020311$8K
2021351$9K
2022209$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 44% 980 936 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 18% 364 360 $11K
V2020 Frames, purchases 17% 706 678 $11K
92340 Fitting of spectacles, except for aphakia; monofocal 9.1% 388 373 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.2% 50 38 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.9% 43 37 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 1.9% 50 37 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.8% 39 34 $1K
92341 1.2% 38 38 $723.04
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 12 12 $456.02
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 12 12 $244.92

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.