Marcheva, Neli
Marcheva, Neli was paid $184K by Medicaid between Mar 2018 and Mar 2023, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoMARCHEVA, NELI
SOMERVILLE, MA 02144
SOMERVILLE, MA 02144
33aNPI1215368923assigned 12/05/2013
33bProvider typeOptometrist
28Total paid$184K
24GClaims3,508
24DCodes billed5
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#105 of 629
Median peer was paid$15K
This provider vs. median12×
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 | 618 | $45K | |
| 2019 | 982 | $35K | |
| 2020 | 550 | $31K | |
| 2021 | 799 | $48K | |
| 2022 | 418 | $20K | |
| 2023 | 141 | $6K |
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 | 34% | 478 | 478 | $63K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 689 | 689 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 365 | 365 | $28K |
| 92015 | Determination of refractive state | 14% | 1,949 | 1,949 | $25K |
| 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 | 4.5% | 27 | 27 | $8K |
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.