Clark, Douglas
Clark, Douglas was paid $14K by Medicaid between Mar 2020 and Apr 2021, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 61% of everything it billed.
33Billing provider infoCLARK, DOUGLAS
SALEM, UT 84653
SALEM, UT 84653
33aNPI1487008603assigned 04/14/2016
33bProvider typeOptometrist
28Total paid$14K
24GClaims721
24DCodes billed6
24AFirst – last monthMar 2020 – Apr 2021
Compared with peers
Next to other Optometrist providers in Utah
Rank by total paid#55 of 130
Median peer was paid$6K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2020 | 390 | $8K | |
| 2021 | 331 | $6K |
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% | 126 | 111 | $9K |
| 92015 | Determination of refractive state | 12% | 135 | 120 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.5% | 119 | 117 | $1K |
| V2020 | Frames, purchases | 8.0% | 128 | 125 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.7% | 123 | 90 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.3% | 90 | 88 | $332.50 |
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.