Daniel M Gold MD PA
Daniel M Gold MD PA was paid $271K by Medicaid between Apr 2018 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoDANIEL M GOLD MD PA
PALESTINE, TX 75801
PALESTINE, TX 75801
33aNPI1205922572assigned 10/05/2006
33bProvider typeSpecialist
28Total paid$271K
24GClaims10,811
24DCodes billed13
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#94 of 382
Median peer was paid$29K
This provider vs. median9.4×
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 | 172 | $2K | |
| 2019 | 139 | $2K | |
| 2020 | 621 | $13K | |
| 2021 | 3,600 | $98K | |
| 2022 | 3,166 | $84K | |
| 2023 | 1,611 | $42K | |
| 2024incomplete | 1,502 | $29K |
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 | 30% | 1,192 | 1,072 | $81K |
| 92015 | Determination of refractive state | 16% | 3,609 | 3,100 | $44K |
| V2020 | Frames, purchases | 12% | 2,489 | 2,224 | $34K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 12% | 848 | 812 | $33K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 1,543 | 1,303 | $30K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 7.7% | 524 | 502 | $21K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.5% | 231 | 198 | $20K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.0% | 149 | 130 | $3K |
| 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 | <1% | 60 | 54 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 102 | 92 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 29 | 28 | $702.64 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 12 | $305.03 |
1 more codes
| 92136 | <1% | 21 | $158.02 |
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 officialGOLD, MARK (OWNER)