Scott, Mark
Scott, Mark was paid $534K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 53% of everything it billed.
33Billing provider infoSCOTT, MARK
WORCESTER, MA 01603
WORCESTER, MA 01603
33aNPI1639294267assigned 03/20/2007
33bProvider typeOptometrist
28Total paid$534K
24GClaims16,486
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#43 of 629
Median peer was paid$15K
This provider vs. median36×
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 | 2,491 | $79K | |
| 2019 | 2,649 | $83K | |
| 2020 | 1,120 | $34K | |
| 2021 | 2,763 | $90K | |
| 2022 | 2,887 | $94K | |
| 2023 | 2,710 | $94K | |
| 2024incomplete | 1,866 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 53% | 9,823 | 8,252 | $286K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 1,306 | 1,301 | $90K |
| 92341 | 15% | 2,302 | 2,283 | $83K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.9% | 898 | 893 | $48K |
| 92015 | Determination of refractive state | 4.7% | 2,004 | 1,993 | $25K |
| V2025 | Deluxe frame | <1% | 153 | 130 | $3K |
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.