Gold, Marc
Gold, Marc was paid $1.15M by Medicaid between Oct 2018 and Dec 2024, across 16 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 39% of everything it billed.
33Billing provider infoGOLD, MARC
HOUSTON, TX 77087
HOUSTON, TX 77087
33aNPI1225040678assigned 08/13/2006
33bProvider typeOptometrist
28Total paid$1.15M
24GClaims52,073
24DCodes billed16
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#30 of 1,408
Median peer was paid$30K
This provider vs. median38×
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 | 15 | $455.70 | |
| 2020 | 1,956 | $48K | |
| 2021 | 11,021 | $262K | |
| 2022 | 12,393 | $288K | |
| 2023 | 14,553 | $316K | |
| 2024incomplete | 12,135 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 39% | 10,461 | 10,188 | $444K |
| V2025 | Deluxe frame | 16% | 6,259 | 6,113 | $179K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 8,897 | 8,187 | $155K |
| V2020 | Frames, purchases | 10% | 7,513 | 7,071 | $116K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.4% | 9,337 | 8,495 | $96K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.6% | 1,758 | 1,646 | $53K |
| 3072F | 2.1% | 3,889 | 3,794 | $24K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.9% | 328 | 326 | $22K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.8% | 1,156 | 1,129 | $21K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.1% | 758 | 722 | $13K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 166 | 150 | $9K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 180 | 179 | $7K |
4 more codes
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.