Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Hamilton › NPI 1346692498

Mardones, Kristia

Mardones, Kristia was paid $14K by Medicaid between Jan 2020 and Oct 2022, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.

33Billing provider infoMARDONES, KRISTIA
HAMILTON, NJ 08690
33aNPI1346692498assigned 07/12/2016
33bProvider typeOptometrist
28Total paid$14K
24GClaims2,949
24DCodes billed3
24AFirst – last monthJan 2020 – Oct 2022
Compared with peers

Next to other Optometrist providers in New Jersey

Rank by total paid#212 of 599
Median peer was paid$2K
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

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
2020813$4K
20211,152$5K
2022984$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 52% 878 855 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 48% 587 565 $7K
92015 Determination of refractive state 0% 1,484 1,434 $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.