Ross, Mark
Ross, Mark was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.
33Billing provider infoROSS, MARK
SCOTTSVILLE, KY 42164
SCOTTSVILLE, KY 42164
33aNPI1174623292assigned 09/25/2006
33bProvider typeOptometrist
28Total paid$1.26M
24GClaims41,029
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#12 of 683
Median peer was paid$123K
This provider vs. median10×
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 | 4,388 | $136K | |
| 2019 | 5,191 | $153K | |
| 2020 | 4,423 | $132K | |
| 2021 | 6,363 | $207K | |
| 2022 | 6,601 | $210K | |
| 2023 | 7,151 | $220K | |
| 2024incomplete | 6,912 | $198K |
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 | 23% | 4,661 | 4,418 | $290K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 2,492 | 2,378 | $211K |
| V2020 | Frames, purchases | 16% | 7,293 | 6,560 | $198K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 6,344 | 6,148 | $175K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 9.4% | 2,636 | 2,541 | $118K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.0% | 5,690 | 5,384 | $112K |
| 92002 | 4.7% | 1,194 | 1,151 | $58K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.7% | 4,587 | 4,210 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 756 | 636 | $27K |
| V2599 | Contact lens, other type | <1% | 126 | 123 | $11K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 358 | 331 | $10K |
| V2760 | Scratch resistant coating, per lens | <1% | 3,741 | 3,617 | $8K |
9 more codes
| 92250 | <1% | 29 | $1K | |
| S0516 | Safety eyeglass frames | <1% | 62 | $990.76 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 63 | $591.42 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 75 | $416.00 |
| 92370 | <1% | 14 | $290.00 | |
| S9999 | Sales tax | <1% | 139 | $186.63 |
| 2023F | 0% | 712 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 30 | $0.00 |
| 99199 | Unlisted special service, procedure or report | 0% | 27 | $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.