Martell, John
Martell, John was paid $25K by Medicaid between May 2019 and Oct 2021, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.
33Billing provider infoMARTELL, JOHN
SOUTH BURLINGTON, VT 05403
SOUTH BURLINGTON, VT 05403
33aNPI1093853160assigned 02/02/2007
33bProvider typeOptometrist
28Total paid$25K
24GClaims623
24DCodes billed3
24AFirst – last monthMay 2019 – Oct 2021
Compared with peers
Next to other Optometrist providers in Vermont
Rank by total paid#32 of 55
Median peer was paid$39K
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 | |
|---|---|---|---|
| 2019 | 89 | $4K | |
| 2020 | 211 | $8K | |
| 2021 | 323 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 58% | 118 | 116 | $15K |
| 92015 | Determination of refractive state | 29% | 473 | 447 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 32 | 30 | $3K |
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.