Balthaser, Eric
Balthaser, Eric was paid $72K by Medicaid between May 2020 and Aug 2023, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoBALTHASER, ERIC
SANDUSKY, OH 44870
SANDUSKY, OH 44870
33aNPI1184770281assigned 01/25/2007
33bProvider typeOptometrist
28Total paid$72K
24GClaims2,788
24DCodes billed6
24AFirst – last monthMay 2020 – Aug 2023
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#411 of 1,098
Median peer was paid$41K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2020 | 407 | $10K | |
| 2021 | 654 | $17K | |
| 2022 | 968 | $26K | |
| 2023 | 759 | $20K |
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 | 40% | 672 | 658 | $29K |
| V2020 | Frames, purchases | 22% | 924 | 906 | $16K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 248 | 248 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13% | 519 | 504 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 412 | 408 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 13 | 12 | $210.00 |
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.