Makler, Edward
Makler, Edward was paid $338K by Medicaid between Jan 2018 and Jun 2022, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoMAKLER, EDWARD
RICHARDSON, TX 75081
RICHARDSON, TX 75081
33aNPI1598850133assigned 10/03/2006
33bProvider typeOptometrist
28Total paid$338K
24GClaims10,678
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#138 of 1,408
Median peer was paid$30K
This provider vs. median11×
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 | 12 | $335.16 | |
| 2019 | 31 | $2K | |
| 2020 | 2,006 | $63K | |
| 2021 | 5,810 | $196K | |
| 2022 | 2,819 | $76K |
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 | 29% | 1,041 | 1,005 | $97K |
| V2020 | Frames, purchases | 25% | 2,136 | 2,029 | $85K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 17% | 1,247 | 1,214 | $57K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.4% | 1,430 | 1,353 | $28K |
| 92015 | Determination of refractive state | 5.7% | 1,552 | 1,456 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.4% | 102 | 101 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 507 | 465 | $9K |
| V2025 | Deluxe frame | 2.7% | 258 | 256 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.7% | 213 | 191 | $9K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.9% | 1,997 | 1,907 | $6K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 45 | 44 | $2K |
| 92025 | <1% | 59 | 58 | $2K |
4 more codes
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.