Clarke, Gary
Clarke, Gary was paid $41K by Medicaid between Feb 2020 and Jan 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoCLARKE, GARY
GALLIPOLIS, OH 45631
GALLIPOLIS, OH 45631
33aNPI1043272388assigned 04/03/2006
33bProvider typeOptometrist
28Total paid$41K
24GClaims1,382
24DCodes billed9
24AFirst – last monthFeb 2020 – Jan 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#546 of 1,098
Median peer was paid$41K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 541 | $16K | |
| 2021 | 495 | $14K | |
| 2022 | 255 | $7K | |
| 2023 | 48 | $2K | |
| 2024incomplete | 43 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 221 | 201 | $10K |
| 92250 | 21% | 266 | 263 | $9K | |
| V2020 | Frames, purchases | 18% | 425 | 419 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 162 | 161 | $7K |
| 92083 | 11% | 161 | 158 | $4K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.9% | 42 | 42 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.7% | 62 | 60 | $2K |
| 92285 | 1.0% | 26 | 26 | $431.46 | |
| 92015 | Determination of refractive state | <1% | 17 | 17 | $156.24 |
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.