Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mersch, Daniel

Mersch, Daniel was paid $17K by Medicaid between Feb 2018 and Nov 2019, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.

33Billing provider infoMERSCH, DANIEL
MANCHESTER, IA 52057
33aNPI1619947900assigned 01/26/2006
33bProvider typeOptometrist
28Total paid$17K
24GClaims457
24DCodes billed5
24AFirst – last monthFeb 2018 – Nov 2019
Compared with peers

Next to other Optometrist providers in Iowa

Rank by total paid#302 of 521
Median peer was paid$28K
This provider vs. median0.6×

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$1.0K$2.0K2018201920202021202220232024
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
2018273$10K
2019184$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 48% 139 133 $8K
V2020 Frames, purchases 34% 245 235 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 29 27 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.8% 27 27 $638.00
92015 Determination of refractive state 0% 17 17 $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.