Mark M. Ainsworth
Mark M. Ainsworth was paid $98K by Medicaid between Apr 2019 and Nov 2024, across 9 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 44% of everything it billed.
33Billing provider infoMARK M. AINSWORTH
HERKIMER, NY 13350
HERKIMER, NY 13350
33aNPI1215113667assigned 01/16/2008
33bProvider typeOptometrist
28Total paid$98K
24GClaims8,067
24DCodes billed9
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#545 of 1,605
Median peer was paid$29K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2019 | 1,252 | $16K | |
| 2020 | 1,459 | $17K | |
| 2021 | 1,576 | $20K | |
| 2022 | 1,644 | $19K | |
| 2023 | 1,070 | $12K | |
| 2024incomplete | 1,066 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 44% | 2,193 | 1,068 | $43K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 19% | 488 | 483 | $19K |
| V2020 | Frames, purchases | 18% | 1,627 | 1,588 | $18K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.9% | 282 | 139 | $6K |
| 92002 | 4.6% | 137 | 136 | $5K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.7% | 89 | 89 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.7% | 67 | 66 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,156 | 1,543 | $750.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 28 | 13 | $743.08 |
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 officialAINSWORTH, MARK (OWNER/OPTOMETRIST)