Berger, Mark
Berger, Mark was paid $179K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 47% of everything it billed.
33Billing provider infoBERGER, MARK
LIMA, OH 45804
LIMA, OH 45804
33aNPI1467534420assigned 10/19/2006
33bProvider typeOptometrist
28Total paid$179K
24GClaims6,876
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#195 of 1,098
Median peer was paid$41K
This provider vs. median4.4×
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 | 894 | $39K | |
| 2019 | 1,018 | $28K | |
| 2020 | 931 | $21K | |
| 2021 | 964 | $22K | |
| 2022 | 1,122 | $25K | |
| 2023 | 1,121 | $25K | |
| 2024incomplete | 826 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 47% | 2,459 | 2,448 | $84K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 1,252 | 1,246 | $43K |
| 92015 | Determination of refractive state | 24% | 2,838 | 2,818 | $43K |
| 92310 | 5.5% | 327 | 325 | $10K |
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.