Physician
Mark Fromer, MD PC
Mark Fromer, MD PC was paid $52K by Medicaid between Sep 2018 and Jan 2020, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoMARK FROMER, MD PC
BRONX, NY 10458
BRONX, NY 10458
33aNPI1194851774assigned 02/26/2007
33bProvider typeOphthalmology Physician
28Total paid$52K
24GClaims10,857
24DCodes billed10
24AFirst – last monthSep 2018 – Jan 2020
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#484 of 1,085
Median peer was paid$34K
This provider vs. median1.5×
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 | 1,724 | $11K | |
| 2019 | 8,210 | $36K | |
| 2020 | 923 | $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 | 40% | 2,089 | 2,089 | $20K |
| V2020 | Frames, purchases | 23% | 2,797 | 2,788 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17% | 1,630 | 812 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.6% | 586 | 586 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.9% | 883 | 443 | $4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.9% | 266 | 133 | $976.56 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 110 | 54 | $410.80 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 74 | 37 | $400.12 |
| 92015 | Determination of refractive state | 0% | 36 | 36 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 2,386 | 1,188 | $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.
From NPPES
Who's on the registration
Authorized officialFROMER, MARK (PRESIDENT-CEO)
| Provider | Location | Paid |
|---|---|---|
| Mark D Fromer, MD PC | Forest Hills, NY | $13.39M |
| Mark Fromer, LLC | Bronx, NY | $1.94M |
| Mark Fromer, MD PC | New York, NY | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.