Baker, Merle
Baker, Merle was paid $90K by Medicaid between Jan 2018 and Dec 2021, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 47% of everything it billed.
33Billing provider infoBAKER, MERLE
ESTHERVILLE, IA 51334
ESTHERVILLE, IA 51334
33aNPI1639210347assigned 02/08/2007
33bProvider typeOptometrist
28Total paid$90K
24GClaims5,034
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#137 of 521
Median peer was paid$28K
This provider vs. median3.2×
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 | 2,249 | $41K | |
| 2019 | 2,048 | $37K | |
| 2020 | 515 | $9K | |
| 2021 | 222 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 47% | 922 | 910 | $42K |
| V2020 | Frames, purchases | 25% | 837 | 811 | $22K |
| 92002 | 18% | 291 | 283 | $16K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.6% | 347 | 331 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.4% | 428 | 411 | $1K |
| V2756 | Eye glass case | <1% | 714 | 691 | $739.80 |
| 92015 | Determination of refractive state | <1% | 1,495 | 1,468 | $15.05 |
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.