Clark, Samantha
Clark, Samantha was paid $13K by Medicaid between Dec 2023 and Jun 2024, across 5 billing codes. Its largest line is V2020, Frames, purchases — 46% of everything it billed.
33Billing provider infoCLARK, SAMANTHA
PLYMOUTH, IN 46563
PLYMOUTH, IN 46563
33aNPI1033763016assigned 07/29/2019
33bProvider typeOptometrist
28Total paid$13K
24GClaims303
24DCodes billed5
24AFirst – last monthDec 2023 – Jun 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#411 of 743
Median peer was paid$22K
This provider vs. median0.6×
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
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 | |
|---|---|---|---|
| 2023 | 15 | $220.05 | |
| 2024incomplete | 288 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 46% | 111 | 106 | $6K |
| 92015 | Determination of refractive state | 18% | 133 | 132 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 15 | 15 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 13 | 13 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.2% | 31 | 31 | $1K |
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.