Rumschlag Optometry, P.C.
Rumschlag Optometry, P.C. was paid $540K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoRUMSCHLAG OPTOMETRY, P.C.
CARMEL, IN 46032
CARMEL, IN 46032
33aNPI1538344627assigned 01/08/2008
33bProvider typeOptometrist
28Total paid$540K
24GClaims12,069
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#109 of 743
Median peer was paid$22K
This provider vs. median25×
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 | 1,393 | $43K | |
| 2019 | 1,214 | $63K | |
| 2020 | 1,201 | $69K | |
| 2021 | 1,286 | $69K | |
| 2022 | 2,538 | $109K | |
| 2023 | 2,346 | $100K | |
| 2024incomplete | 2,091 | $87K |
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 | 35% | 1,865 | 1,793 | $189K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 1,578 | 1,508 | $128K |
| 92060 | 19% | 2,167 | 2,040 | $104K | |
| 92015 | Determination of refractive state | 11% | 4,243 | 4,093 | $62K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.9% | 207 | 202 | $26K |
| 92202 | 4.1% | 1,882 | 1,773 | $22K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 88 | 79 | $8K |
| 92020 | <1% | 39 | 39 | $423.10 |
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.
From NPPES
Who's on the registration
Authorized officialRUMSCHLAG, SAMUEL (OWNER)