Monarch, Diane
Monarch, Diane was paid $5K by Medicaid between Aug 2018 and Apr 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 61% of everything it billed.
33Billing provider infoMONARCH, DIANE
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1477754489assigned 05/29/2007
33bProvider typeOptometrist
28Total paid$5K
24GClaims226
24DCodes billed3
24AFirst – last monthAug 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#289 of 425
Median peer was paid$22K
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 | 31 | $2K | |
| 2019 | 48 | $1K | |
| 2020 | 56 | $1K | |
| 2021 | 66 | $713.62 | |
| 2023 | 13 | $65.00 | |
| 2024incomplete | 12 | $60.00 |
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 | 61% | 40 | 40 | $3K |
| 92015 | Determination of refractive state | 34% | 173 | 166 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.3% | 13 | 12 | $247.00 |
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.