Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Altoona › NPI 1598862294

Gansarski, Mary

Gansarski, Mary was paid $289K by Medicaid between Apr 2018 and Dec 2024, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 49% of everything it billed.

33Billing provider infoGANSARSKI, MARY
ALTOONA, PA 16601
33aNPI1598862294assigned 09/17/2006
33bProvider typeOptometrist
28Total paid$289K
24GClaims6,775
24DCodes billed5
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#96 of 983
Median peer was paid$20K
This provider vs. median14×

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
201813$585.00
2020310$13K
20211,698$72K
20221,685$72K
20231,784$76K
2024incomplete1,285$55K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 49% 3,132 3,127 $141K
S0620 Routine ophthalmological examination including refraction; new patient 23% 1,485 1,482 $67K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13% 899 899 $37K
92310 12% 1,043 1,041 $36K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.1% 216 216 $9K

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.