Abplanalp, Mark
Abplanalp, Mark was paid $8K by Medicaid between Aug 2020 and Jun 2021, across 1 billing code. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 100% of everything it billed.
33Billing provider infoABPLANALP, MARK
OXFORD, OH 45056
OXFORD, OH 45056
33aNPI1174528962assigned 06/17/2005
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$8K
24GClaims176
24DCodes billed1
24AFirst – last monthAug 2020 – Jun 2021
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Ohio
Rank by total paid#29 of 36
Median peer was paid$45K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 56 | $2K | |
| 2021 | 120 | $5K |
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 | 100% | 176 | 175 | $8K |
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.