Donch and Baker, O.D. Eye Doctors of Madison, LLC

Donch and Baker, O.D. Eye Doctors of Madison, LLC was paid $28K by Medicaid between Jan 2018 and Sep 2021, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 47% of everything it billed.

33Billing provider infoDONCH AND BAKER, O.D. EYE DOCTORS OF MADISON, LLC
MADISON, OH 44057

33aNPI1457520553assigned 02/22/2008

33bProvider typeEyewear Supplier

28Total paid$28K

24GClaims1,353

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Eyewear Supplier providers in Ohio

Rank by total paid#23 of 34

Median peer was paid$143K

This provider vs. median0.2×

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	685	$15K
2019	652	$13K
2021	16	$229.13

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	47%	700	655	$13K
92340	Fitting of spectacles, except for aphakia; monofocal	32%	454	420	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	138	133	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.1%	35	24	$866.44
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.6%	12	12	$727.54
92341		<1%	14	12	$222.26

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 officialDONCH, NICK (OWNER)