Stefani, Mark
Stefani, Mark was paid $194K by Medicaid between Jan 2018 and Mar 2022, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoSTEFANI, MARK
FRASER, MI 48026
FRASER, MI 48026
33aNPI1639292865assigned 04/10/2007
33bProvider typeOptometrist
28Total paid$194K
24GClaims5,982
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#99 of 497
Median peer was paid$21K
This provider vs. median9.2×
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 | 1,454 | $42K | |
| 2019 | 1,529 | $51K | |
| 2020 | 1,076 | $35K | |
| 2021 | 1,502 | $51K | |
| 2022 | 421 | $14K |
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 | 40% | 1,148 | 1,147 | $77K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 826 | 826 | $54K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 1,700 | 1,695 | $33K |
| 92015 | Determination of refractive state | 12% | 2,073 | 2,071 | $23K |
| 92341 | 2.6% | 222 | 222 | $5K | |
| 92250 | <1% | 13 | 13 | $368.29 |
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.