Altfillisch, Mark
Altfillisch, Mark was paid $93K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 45% of everything it billed.
33Billing provider infoALTFILLISCH, MARK
OTTUMWA, IA 52501
OTTUMWA, IA 52501
33aNPI1093814014assigned 09/22/2006
33bProvider typeOptometrist
28Total paid$93K
24GClaims4,408
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#131 of 521
Median peer was paid$28K
This provider vs. median3.3×
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 | 736 | $15K | |
| 2019 | 552 | $10K | |
| 2020 | 700 | $13K | |
| 2021 | 794 | $18K | |
| 2022 | 702 | $17K | |
| 2023 | 644 | $16K | |
| 2024incomplete | 280 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 45% | 996 | 938 | $42K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 313 | 287 | $25K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 294 | 281 | $16K |
| 92015 | Determination of refractive state | 11% | 2,792 | 2,614 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $389.07 |
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.