Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Birrell, Mark

Birrell, Mark was paid $233K by Medicaid between Jan 2018 and Jun 2021, across 5 billing codes. Its largest line is 92002, — 22% of everything it billed.

33Billing provider infoBIRRELL, MARK
PITTSFIELD, MA 01201
33aNPI1538348495assigned 10/29/2007
33bProvider typeOptometrist
28Total paid$233K
24GClaims8,076
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other Optometrist providers in Massachusetts

Rank by total paid#90 of 629
Median peer was paid$15K
This provider vs. median16×

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$5.0K$10K2018201920202021202220232024
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
20183,163$91K
20192,783$79K
20201,362$39K
2021768$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92002 22% 1,037 1,036 $52K
92015 Determination of refractive state 22% 4,093 4,091 $51K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 22% 1,276 1,273 $50K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 854 854 $49K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13% 816 815 $30K

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.