Physician
Marc E Wietschner MD P C
Marc E Wietschner MD P C was paid $515K by Medicaid between Jan 2018 and May 2024, across 32 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.
33Billing provider infoMARC E WIETSCHNER MD P C
FLORAL PARK, NY 11001
FLORAL PARK, NY 11001
33aNPI1326248808assigned 07/23/2007
33bProvider typeOphthalmology Physician
28Total paid$515K
24GClaims24,750
24DCodes billed32
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#176 of 1,085
Median peer was paid$34K
This provider vs. median15×
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 | 2,980 | $84K | |
| 2019 | 5,577 | $119K | |
| 2020 | 7,124 | $141K | |
| 2021 | 8,737 | $155K | |
| 2022 | 304 | $14K | |
| 2024incomplete | 28 | $3K |
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 | 37% | 2,221 | 2,218 | $189K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 923 | 923 | $94K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 17% | 1,491 | 1,408 | $88K |
| 92250 | 8.0% | 1,120 | 1,117 | $41K | |
| 92083 | 5.7% | 574 | 571 | $29K | |
| 92134 | 5.1% | 887 | 850 | $26K | |
| 92133 | 2.8% | 492 | 491 | $14K | |
| 92226 | 2.2% | 537 | 346 | $11K | |
| 92020 | 1.5% | 408 | 408 | $8K | |
| 92202 | <1% | 385 | 381 | $4K | |
| 92136 | <1% | 148 | 93 | $3K | |
| 99072 | <1% | 895 | 791 | $3K |
20 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 37 | $2K |
| 92225 | <1% | 56 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $353.12 |
| 92015 | Determination of refractive state | <1% | 12 | $266.91 |
| 76514 | <1% | 15 | $103.87 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 3,452 | $1.18 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | <1% | 37 | $0.03 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,681 | $0.00 |
| 4040F | 0% | 2,150 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 674 | $0.00 |
| 2026F | 0% | 473 | $0.00 | |
| 2024F | 0% | 473 | $0.00 | |
| 0517F | 0% | 269 | $0.00 | |
| 2022F | 0% | 473 | $0.00 | |
| 2027F | 0% | 27 | $0.00 | |
| 1036F | 0% | 2,385 | $0.00 | |
| 3072F | 0% | 173 | $0.00 | |
| 4177F | 0% | 132 | $0.00 | |
| 99024 | 0% | 16 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 116 | $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 officialWIETSCHNER, MARC (DOCTOR)