Gary L. Clarke, INC.
Gary L. Clarke, INC. was paid $220K by Medicaid between Jan 2018 and Mar 2021, across 18 billing codes. Its largest line is 92250, — 16% of everything it billed.
33Billing provider infoGARY L. CLARKE, INC.
GALLIPOLIS, OH 45631
GALLIPOLIS, OH 45631
33aNPI1548432156assigned 03/24/2008
33bProvider typeOptometrist
28Total paid$220K
24GClaims8,459
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#162 of 1,098
Median peer was paid$41K
This provider vs. median5.4×
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 | 4,301 | $120K | |
| 2019 | 3,579 | $84K | |
| 2020 | 567 | $16K | |
| 2021 | 12 | $291.93 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 16% | 1,209 | 1,165 | $34K | |
| 92225 | 14% | 1,902 | 926 | $31K | |
| 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 | 13% | 524 | 508 | $29K |
| 68761 | 11% | 445 | 193 | $24K | |
| 92015 | Determination of refractive state | 10% | 1,107 | 1,069 | $22K |
| 92083 | 8.3% | 765 | 733 | $18K | |
| 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 | 7.3% | 217 | 208 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.8% | 552 | 531 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 314 | 291 | $10K |
| 92285 | 4.2% | 582 | 554 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 319 | 296 | $7K |
| 92341 | 2.2% | 207 | 191 | $5K |
6 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $875.07 |
| 92133 | <1% | 51 | $750.53 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 81 | $633.23 |
| G8785 | Blood pressure reading not documented, reason not given | <1% | 77 | $561.97 |
| 1036F | <1% | 80 | $397.67 | |
| 4004F | 0% | 14 | $0.00 |
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 officialCLARKE, GARY (PRESIDENT)