Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rumbach, Max

Rumbach, Max was paid $8K by Medicaid between Jun 2018 and Jan 2020, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.

33Billing provider infoRUMBACH, MAX
ALBUQUERQUE, NM 87114
33aNPI1063861961assigned 06/10/2016
33bProvider typeOptometrist
28Total paid$8K
24GClaims235
24DCodes billed5
24AFirst – last monthJun 2018 – Jan 2020
Compared with peers

Next to other Optometrist providers in New Mexico

Rank by total paid#89 of 122
Median peer was paid$112K
This provider vs. median0.1×

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$4.0K2018201920202021202220232024
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
2018218$7K
202017$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 39% 41 40 $3K
S0620 Routine ophthalmological examination including refraction; new patient 20% 17 17 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 17% 36 35 $1K
V2020 Frames, purchases 14% 69 67 $1K
92015 Determination of refractive state 10% 72 70 $836.19

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.