Mercer In-Sight LLC
Mercer In-Sight LLC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 92015, Determination of refractive state — 20% of everything it billed.
33Billing provider infoMERCER IN-SIGHT LLC
CELINA, OH 45822
CELINA, OH 45822
33aNPI1245528090assigned 07/14/2011
33bProvider typeOptometrist
28Total paid$1.24M
24GClaims57,962
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#18 of 1,098
Median peer was paid$41K
This provider vs. median30×
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 | 10,959 | $250K | |
| 2019 | 10,546 | $241K | |
| 2020 | 7,419 | $140K | |
| 2021 | 8,105 | $145K | |
| 2022 | 7,351 | $151K | |
| 2023 | 7,828 | $163K | |
| 2024incomplete | 5,754 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 20% | 16,165 | 15,327 | $242K |
| 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 | 19% | 4,122 | 3,897 | $236K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 5,181 | 5,029 | $195K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 7,492 | 7,307 | $140K |
| 92250 | 8.6% | 3,827 | 3,624 | $106K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.8% | 2,401 | 2,336 | $97K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 1,084 | 1,035 | $55K |
| V2020 | Frames, purchases | 3.5% | 4,253 | 4,177 | $44K |
| V2760 | Scratch resistant coating, per lens | 3.0% | 3,727 | 3,666 | $37K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.0% | 1,825 | 1,792 | $25K |
| V2755 | U-v lens, per lens | 1.8% | 3,724 | 3,663 | $22K |
| 92341 | 1.1% | 592 | 572 | $14K |
8 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 313 | $12K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,700 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 48 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 113 | $3K |
| 92310 | <1% | 16 | $90.00 | |
| 99072 | <1% | 248 | $88.75 | |
| 1036F | 0% | 1,102 | $0.00 | |
| 3072F | 0% | 29 | $0.00 |
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 officialOTTE, CHAD (OWNER)