Lenzen, Marc
Lenzen, Marc was paid $169K by Medicaid between Jan 2018 and Apr 2020, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 71% of everything it billed.
33Billing provider infoLENZEN, MARC
LAGUNA NIGUEL, CA 92677
LAGUNA NIGUEL, CA 92677
33aNPI1235252354assigned 04/06/2007
33bProvider typeOptometrist
28Total paid$169K
24GClaims7,945
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#371 of 1,899
Median peer was paid$23K
This provider vs. median7.5×
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 | 2,025 | $43K | |
| 2019 | 4,451 | $95K | |
| 2020 | 1,469 | $31K |
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 | 71% | 3,338 | 3,267 | $120K |
| 92015 | Determination of refractive state | 15% | 3,387 | 3,310 | $25K |
| V2020 | Frames, purchases | 7.5% | 604 | 595 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.0% | 604 | 597 | $10K |
| 92250 | <1% | 12 | 12 | $500.52 |
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.