Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Stanchfield, Mark

Stanchfield, Mark was paid $826K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.

33Billing provider infoSTANCHFIELD, MARK
CUT BANK, MT 59427
33aNPI1235118258assigned 01/10/2006
33bProvider typeOptometrist
28Total paid$826K
24GClaims18,489
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Montana

Rank by total paid#9 of 113
Median peer was paid$95K
This provider vs. median8.7×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,308$106K
20192,021$95K
20202,478$113K
20213,122$138K
20223,125$136K
20233,052$128K
2024incomplete2,383$110K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36% 3,186 3,099 $295K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 27% 2,238 2,170 $219K
92250 14% 3,640 3,518 $116K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 3,716 3,648 $105K
92015 Determination of refractive state 11% 5,680 5,546 $90K
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% 13 12 $720.24
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 16 16 $601.64

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.