Jacobs, Mark
Jacobs, Mark was paid $708K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoJACOBS, MARK
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1124023809assigned 06/17/2005
33bProvider typeOptometrist
28Total paid$708K
24GClaims16,477
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#53 of 683
Median peer was paid$123K
This provider vs. median5.8×
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 | 1,570 | $73K | |
| 2019 | 2,937 | $121K | |
| 2020 | 2,694 | $106K | |
| 2021 | 2,792 | $116K | |
| 2022 | 2,544 | $100K | |
| 2023 | 1,797 | $76K | |
| 2024incomplete | 2,143 | $116K |
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 | 36% | 2,950 | 2,824 | $251K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 30% | 3,700 | 3,409 | $214K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 2,673 | 2,450 | $157K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 857 | 745 | $33K |
| 92015 | Determination of refractive state | 4.0% | 5,260 | 4,878 | $28K |
| 92341 | 1.7% | 246 | 214 | $12K | |
| 92065 | <1% | 138 | 60 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 67 | 67 | $4K |
| V2020 | Frames, purchases | <1% | 412 | 236 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 19 | 17 | $595.10 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 26 | 13 | $540.25 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 13 | $466.20 |
4 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 27 | $261.25 |
| S0516 | Safety eyeglass frames | <1% | 15 | $239.70 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 15 | $131.28 |
| S9999 | Sales tax | <1% | 57 | $126.81 |
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.