Grohol, Mark
Grohol, Mark was paid $697K by Medicaid between Mar 2018 and Dec 2024, across 24 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 29% of everything it billed.
33Billing provider infoGROHOL, MARK
HAZLETON, PA 18201
HAZLETON, PA 18201
33aNPI1447271473assigned 07/23/2006
33bProvider typeOptometrist
28Total paid$697K
24GClaims28,895
24DCodes billed24
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#27 of 983
Median peer was paid$20K
This provider vs. median35×
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 | 89 | $534.09 | |
| 2019 | 41 | $143.50 | |
| 2020 | 1,104 | $24K | |
| 2021 | 6,263 | $143K | |
| 2022 | 6,162 | $137K | |
| 2023 | 8,652 | $206K | |
| 2024incomplete | 6,584 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 29% | 6,717 | 3,248 | $204K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 3,327 | 3,269 | $149K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 13% | 2,075 | 961 | $93K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.7% | 3,809 | 2,040 | $68K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.5% | 785 | 773 | $45K |
| V2020 | Frames, purchases | 3.8% | 3,818 | 3,612 | $27K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.7% | 1,724 | 975 | $26K |
| 92015 | Determination of refractive state | 2.8% | 3,603 | 3,534 | $20K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.4% | 795 | 438 | $17K |
| 92083 | 1.1% | 145 | 144 | $8K | |
| 92310 | 1.0% | 181 | 175 | $7K | |
| 92020 | <1% | 533 | 531 | $7K |
12 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 93 | $4K |
| 92133 | <1% | 133 | $4K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 187 | $4K |
| 92134 | <1% | 120 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 103 | $3K |
| 92250 | <1% | 69 | $3K | |
| V2025 | Deluxe frame | <1% | 418 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 161 | $3K |
| V2302 | Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens | <1% | 24 | $600.00 |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 24 | $420.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $323.51 |
| V2781 | Progressive lens, per lens | 0% | 39 | $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.