Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Merrill, Mitch

Merrill, Mitch was paid $11K by Medicaid between Nov 2021 and Sep 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 82% of everything it billed.

33Billing provider infoMERRILL, MITCH
REXBURG, ID 83440
33aNPI1518631282assigned 08/05/2021
33bProvider typeOptometrist
28Total paid$11K
24GClaims287
24DCodes billed4
24AFirst – last monthNov 2021 – Sep 2024
Compared with peers

Next to other Optometrist providers in Idaho

Rank by total paid#90 of 134
Median peer was paid$35K
This provider vs. median0.3×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202132$2K
2022107$6K
202393$3K
2024incomplete55$17.80
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 82% 71 71 $9K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 17 17 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 4.9% 24 24 $543.26
92015 Determination of refractive state <1% 175 175 $54.08

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.