Matthew L. Sprowl, MD, INC.

Matthew L. Sprowl, MD, INC. was paid $87K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.

33Billing provider infoMATTHEW L. SPROWL, MD, INC.
DAYTON, OH 45402

33aNPI1295817831assigned 10/20/2006

33bProvider typeOphthalmology Physician

28Total paid$87K

24GClaims3,513

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Ohio

Rank by total paid#36 of 155

Median peer was paid$10K

This provider vs. median8.3×

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	663	$18K
2019	573	$14K
2020	442	$11K
2021	467	$12K
2022	577	$12K
2023	405	$9K
2024incomplete	386	$11K

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	43%	1,160	1,073	$37K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	15%	571	531	$13K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	13%	283	256	$11K
92083		12%	523	483	$10K
92015	Determination of refractive state	10%	517	472	$9K
92133		2.0%	162	154	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	39	36	$2K
92134		1.7%	126	109	$2K
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	1.2%	27	25	$1K
92020		<1%	93	85	$818.98
76514		<1%	12	12	$68.29

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 officialSPROWL, MATTHEW (PHYSICIAN/OWNER)