Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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David S Sybesma, Od, PC

David S Sybesma, Od, PC was paid $29K by Medicaid between Aug 2020 and Dec 2024, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 34% of everything it billed.

33Billing provider infoDAVID S SYBESMA, OD, PC
MAQUOKETA, IA 52060
33aNPI1447474630assigned 04/12/2007
33bProvider typeOptometrist
28Total paid$29K
24GClaims1,111
24DCodes billed6
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers

Next to other Optometrist providers in Iowa

Rank by total paid#257 of 521
Median peer was paid$28K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
2020235$7K
2021173$5K
2022253$6K
2023292$7K
2024incomplete158$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 34% 736 712 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 30% 137 136 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 28% 87 87 $8K
V2020 Frames, purchases 6.4% 70 69 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.1% 12 12 $306.24
V2756 Eye glass case <1% 69 68 $71.28

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 officialSYBESMA, DAVID (OWNER)