M&M Eye Institute PLC

M&M Eye Institute PLC was paid $15K by Medicaid between Jan 2018 and Jan 2019, 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 infoM&M EYE INSTITUTE PLC
PRESCOTT, AZ 86301

33aNPI1578964672assigned 09/08/2014

33bProvider typeOphthalmology Physician

28Total paid$15K

24GClaims342

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Ophthalmology Physician providers in Arizona

Rank by total paid#52 of 78

Median peer was paid$44K

This provider vs. median0.4×

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	329	$14K
2019	13	$1K

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%	193	154	$9K
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	22%	44	43	$3K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	10%	52	38	$2K
92250		7.5%	38	36	$1K
92015	Determination of refractive state	<1%	15	13	$47.03

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 officialMARKHAM, SCOTT (OWNER)