DR. Mark M. Zimmer P.C
DR. Mark M. Zimmer P.C was paid $42K by Medicaid between Jul 2019 and Dec 2023, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 27% of everything it billed.
33Billing provider infoDR. MARK M. ZIMMER P.C
INDEPENDENCE, IA 50644
INDEPENDENCE, IA 50644
33aNPI1376619247assigned 11/24/2006
33bProvider typeOptometrist
28Total paid$42K
24GClaims1,649
24DCodes billed8
24AFirst – last monthJul 2019 – Dec 2023
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#217 of 521
Median peer was paid$28K
This provider vs. median1.5×
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
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 | |
|---|---|---|---|
| 2019 | 311 | $8K | |
| 2020 | 360 | $8K | |
| 2021 | 349 | $7K | |
| 2022 | 369 | $11K | |
| 2023 | 260 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 27% | 776 | 766 | $11K |
| V2020 | Frames, purchases | 20% | 344 | 331 | $8K |
| 92002 | 17% | 126 | 125 | $7K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 126 | 115 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 51 | 49 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.1% | 72 | 70 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $265.19 |
| V2756 | Eye glass case | <1% | 142 | 137 | $143.86 |
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 officialZIMMER, MARK (PRESIDENT)