Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › New York › NPI 1467428573
Physician

Hornfeld, Mark

Hornfeld, Mark was paid $965K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 92134, — 11% of everything it billed.

33Billing provider infoHORNFELD, MARK
NEW YORK, NY 10024
33aNPI1467428573assigned 02/28/2006
33bProvider typeOphthalmology Physician
28Total paid$965K
24GClaims38,190
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#111 of 1,085
Median peer was paid$34K
This provider vs. median29×

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$20K$40K$60K2018201920202021202220232024
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
20181,504$31K
20192,464$53K
20202,369$64K
20214,634$122K
20227,235$200K
202311,369$276K
2024incomplete8,615$218K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92134 11% 4,301 4,268 $109K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 4,602 3,904 $109K
68761 9.5% 1,863 1,311 $92K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6.9% 2,043 1,711 $67K
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 6.5% 1,388 1,157 $63K
66762 5.5% 628 517 $53K
67210 4.6% 406 348 $45K
92083 4.6% 2,535 2,517 $44K
92286 4.3% 1,882 1,872 $41K
92020 4.3% 2,973 2,958 $41K
65855 4.1% 673 547 $40K
92250 4.0% 2,399 2,376 $38K
25 more codes
92202 3.7% 2,635 $35K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.0% 535 $29K
92133 2.9% 2,050 $28K
65778 2.4% 113 $23K
92285 1.7% 2,397 $16K
66821 1.5% 191 $14K
95930 1.4% 345 $13K
92273 1.1% 288 $11K
66761 <1% 128 $8K
99204 Doctor's office visit, new patient (more involved) <1% 75 $7K
92136 <1% 259 $6K
65860 <1% 99 $6K
92145 <1% 627 $5K
92132 <1% 360 $4K
92100 <1% 100 $4K
92015 Determination of refractive state <1% 1,286 $4K
76514 <1% 530 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 104 $2K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 16 $2K
99442 <1% 74 $1K
92226 <1% 102 $1K
92025 <1% 13 $98.44
83861 <1% 102 $80.93
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 31 $18.52
99072 0% 37 $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.