Pfenninger, David
Pfenninger, David was paid $280K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 59% of everything it billed.
33Billing provider infoPFENNINGER, DAVID
RICHMOND, IN 47374
RICHMOND, IN 47374
33aNPI1528117462assigned 01/09/2007
33bProvider typeOptometrist
28Total paid$280K
24GClaims7,996
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#163 of 743
Median peer was paid$22K
This provider vs. median13×
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 | 1,642 | $32K | |
| 2019 | 1,697 | $47K | |
| 2020 | 1,143 | $29K | |
| 2021 | 1,259 | $39K | |
| 2022 | 1,067 | $62K | |
| 2023 | 663 | $38K | |
| 2024incomplete | 525 | $33K |
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 | 59% | 2,794 | 2,639 | $167K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 806 | 768 | $57K |
| 92015 | Determination of refractive state | 16% | 4,080 | 3,852 | $46K |
| V2020 | Frames, purchases | 2.4% | 160 | 156 | $7K |
| V2755 | U-v lens, per lens | 1.2% | 156 | 152 | $3K |
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.