Mawhinney, Brian
Mawhinney, Brian was paid $23K by Medicaid between Nov 2021 and May 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 52% of everything it billed.
33Billing provider infoMAWHINNEY, BRIAN
ST JOHNSBURY, VT 05819
ST JOHNSBURY, VT 05819
33aNPI1467448613assigned 09/23/2005
33bProvider typeOptometrist
28Total paid$23K
24GClaims833
24DCodes billed7
24AFirst – last monthNov 2021 – May 2024
Compared with peers
Next to other Optometrist providers in Vermont
Rank by total paid#34 of 55
Median peer was paid$39K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 41 | $2K | |
| 2022 | 462 | $14K | |
| 2023 | 262 | $6K | |
| 2024incomplete | 68 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 52% | 149 | 148 | $12K |
| 92015 | Determination of refractive state | 32% | 323 | 317 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.1% | 54 | 40 | $1K |
| V2020 | Frames, purchases | 3.6% | 83 | 69 | $806.88 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.3% | 12 | 12 | $753.36 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.5% | 47 | 24 | $574.26 |
| 99199 | Unlisted special service, procedure or report | 0% | 165 | 165 | $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.