Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mcdonald, Charles

Mcdonald, Charles was paid $1K by Medicaid between Jun 2020 and Oct 2021, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 80% of everything it billed.

33Billing provider infoMCDONALD, CHARLES
EASTON, MD 21601
33aNPI1437236775assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$1K
24GClaims1,516
24DCodes billed7
24AFirst – last monthJun 2020 – Oct 2021
Compared with peers

Next to other Optometrist providers in Maryland

Rank by total paid#297 of 345
Median peer was paid$27K
This provider vs. median0.1×

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$200$400$6002018201920202021202220232024
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
2020411$501.86
20211,105$949.57
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 80% 807 748 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9.3% 122 121 $135.00
V2020 Frames, purchases 5.2% 176 170 $76.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5.1% 153 148 $74.64
V2784 Lens, polycarbonate or equal, any index, per lens <1% 172 167 $8.00
92015 Determination of refractive state 0% 16 14 $0.00
V2750 Anti-reflective coating, per lens 0% 70 70 $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.