Gold, Mark

Gold, Mark was paid $120K by Medicaid between Jan 2023 and Nov 2023, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.

33Billing provider infoGOLD, MARK
PALESTINE, TX 75801

33aNPI1376953224assigned 04/30/2014

33bProvider typeInternal Medicine Physician

28Total paid$120K

24GClaims3,761

24DCodes billed11

24AFirst – last monthJan 2023 – Nov 2023

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#203 of 1,028

Median peer was paid$10K

This provider vs. median12×

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
2023	3,761	$120K

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	28%	414	395	$33K
S0621	Routine ophthalmological examination including refraction; established patient	17%	351	346	$20K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	15%	187	175	$18K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	14%	907	801	$17K
V2020	Frames, purchases	12%	995	878	$14K
92015	Determination of refractive state	6.7%	691	648	$8K
S0620	Routine ophthalmological examination including refraction; new patient	6.6%	144	141	$8K
92133		<1%	12	12	$379.25
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	<1%	16	13	$286.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	12	$274.56
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	31	28	$13.00

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.