Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mark L Hepner Optometrist LLC

Mark L Hepner Optometrist LLC was paid $232K by Medicaid between Sep 2019 and Dec 2024, across 7 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 28% of everything it billed.

33Billing provider infoMARK L HEPNER OPTOMETRIST LLC
SUNBURY, PA 17801
33aNPI1558676064assigned 08/10/2010
33bProvider typeOptometrist
28Total paid$232K
24GClaims7,742
24DCodes billed7
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#113 of 983
Median peer was paid$20K
This provider vs. median12×

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
2019217$8K
2020282$9K
20211,525$46K
20221,862$56K
20231,929$57K
2024incomplete1,927$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2784 Lens, polycarbonate or equal, any index, per lens 28% 1,873 1,220 $66K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28% 1,461 1,420 $64K
V2020 Frames, purchases 20% 1,936 1,637 $46K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 18% 1,407 840 $43K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.0% 149 144 $7K
92015 Determination of refractive state 2.1% 854 830 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 62 26 $2K

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 officialHEPNER, MARK (OWNER)