Nelson, Marc
Nelson, Marc was paid $157K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoNELSON, MARC
WEST BERLIN, NJ 08091
WEST BERLIN, NJ 08091
33aNPI1295715241assigned 01/17/2006
33bProvider typeOptometrist
28Total paid$157K
24GClaims11,340
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#65 of 599
Median peer was paid$2K
This provider vs. median87×
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 | 1,932 | $31K | |
| 2019 | 1,388 | $22K | |
| 2020 | 1,293 | $19K | |
| 2021 | 1,672 | $24K | |
| 2022 | 1,552 | $21K | |
| 2023 | 1,664 | $21K | |
| 2024incomplete | 1,839 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 44% | 2,222 | 2,202 | $70K |
| V2020 | Frames, purchases | 17% | 2,488 | 2,429 | $26K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14% | 1,821 | 1,791 | $22K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 710 | 707 | $20K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.1% | 1,239 | 1,204 | $10K |
| 92015 | Determination of refractive state | 4.8% | 2,161 | 2,141 | $7K |
| 92227 | <1% | 225 | 203 | $831.00 | |
| 92250 | <1% | 15 | 15 | $588.00 | |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 12 | 12 | $400.00 |
| 2024F | 0% | 349 | 321 | $0.00 | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 39 | 39 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 19 | 19 | $0.00 |
1 more codes
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 40 | $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.