Lopez, Mark
Lopez, Mark was paid $137K by Medicaid between Jan 2018 and Apr 2019, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoLOPEZ, MARK
GALES FERRY, CT 06335
GALES FERRY, CT 06335
33aNPI1487648051assigned 09/09/2005
33bProvider typeOptometrist
28Total paid$137K
24GClaims3,797
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#167 of 340
Median peer was paid$125K
This provider vs. median1.1×
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 | 3,048 | $110K | |
| 2019 | 749 | $27K |
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 | 32% | 669 | 657 | $44K |
| 92015 | Determination of refractive state | 20% | 766 | 740 | $27K |
| V2020 | Frames, purchases | 14% | 663 | 635 | $19K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 13% | 613 | 587 | $17K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 489 | 475 | $17K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.2% | 597 | 578 | $13K |
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.