Mahaffey, Donna
Mahaffey, Donna was paid $360K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.
33Billing provider infoMAHAFFEY, DONNA
TOLEDO, OH 43615
TOLEDO, OH 43615
33aNPI1134166465assigned 06/02/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$360K
24GClaims25,044
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Ohio
Rank by total paid#2 of 36
Median peer was paid$45K
This provider vs. median8.0×
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 | 3,645 | $52K | |
| 2019 | 5,345 | $75K | |
| 2020 | 6,078 | $83K | |
| 2021 | 4,440 | $55K | |
| 2022 | 2,933 | $43K | |
| 2023 | 1,592 | $29K | |
| 2024incomplete | 1,011 | $21K |
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 | 22% | 1,956 | 1,914 | $79K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 3,161 | 3,017 | $61K |
| 92015 | Determination of refractive state | 17% | 3,523 | 3,399 | $60K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 887 | 861 | $37K |
| 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 | 8.2% | 728 | 695 | $29K |
| V2020 | Frames, purchases | 7.1% | 3,988 | 3,850 | $26K |
| 92341 | 3.4% | 554 | 521 | $12K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.2% | 700 | 680 | $12K |
| 92250 | 2.9% | 594 | 565 | $11K | |
| V2760 | Scratch resistant coating, per lens | 2.9% | 1,054 | 1,020 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.1% | 3,927 | 3,779 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 1,915 | 1,841 | $8K |
10 more codes
| V2755 | U-v lens, per lens | 1.8% | 1,055 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 191 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 12 | $374.10 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $173.28 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 17 | $21.00 |
| 1036F | 0% | 422 | $0.00 | |
| 2026F | 0% | 144 | $0.00 | |
| 2022F | 0% | 72 | $0.00 | |
| 5010F | 0% | 99 | $0.00 | |
| 4004F | 0% | 33 | $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.