Mershon, James
Mershon, James was paid $19K by Medicaid between Jan 2018 and Oct 2022, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 84% of everything it billed.
33Billing provider infoMERSHON, JAMES
CALDWELL, OH 43724
CALDWELL, OH 43724
33aNPI1043390867assigned 10/16/2006
33bProvider typeOptometrist
28Total paid$19K
24GClaims581
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#694 of 1,098
Median peer was paid$41K
This provider vs. median0.5×
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 | 278 | $10K | |
| 2019 | 159 | $7K | |
| 2020 | 38 | $2K | |
| 2021 | 31 | $0.00 | |
| 2022 | 75 | $541.08 |
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 | 84% | 356 | 351 | $16K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 48 | 48 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.4% | 31 | 30 | $631.33 |
| 3072F | 0% | 94 | 94 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 52 | 52 | $0.00 |
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.