Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rose, Kayla

Rose, Kayla was paid $41K by Medicaid between Aug 2019 and Oct 2020, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 21% of everything it billed.

33Billing provider infoROSE, KAYLA
NORTH SMITHFIELD, RI 02896
33aNPI1992364020assigned 06/12/2019
33bProvider typeOptometrist
28Total paid$41K
24GClaims1,630
24DCodes billed9
24AFirst – last monthAug 2019 – Oct 2020
Compared with peers

Next to other Optometrist providers in Rhode Island

Rank by total paid#81 of 209
Median peer was paid$24K
This provider vs. median1.7×

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$5.0K$10K2018201920202021202220232024
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
2019961$24K
2020669$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 21% 383 317 $8K
V2020 Frames, purchases 20% 276 230 $8K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12% 99 99 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 95 78 $5K
92370 8.6% 323 265 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 8.2% 216 194 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8.2% 78 70 $3K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 6.0% 102 101 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4.9% 58 51 $2K

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.