Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MARK D FROMER, MD PC

NPI: 1649306218 · FOREST HILLS, NY 11375 · Ophthalmology Physician · NPI assigned 02/26/2007

$13.39M
Total Medicaid Paid
334,007
Total Claims
311,970
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFROMER, MARK (PRESIDENT-CEO)
NPI Enumeration Date02/26/2007

Related Entities

Other providers sharing the same authorized official: FROMER, MARK

ProviderCityStateTotal Paid
MARK FROMER, LLC BRONX NY $1.94M
MARK FROMER, MD PC NEW YORK NY $116K
MARK FROMER, MD PC BRONX NY $52K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,795 $2.11M
2019 52,831 $2.53M
2020 41,393 $1.61M
2021 61,620 $2.21M
2022 56,408 $2.07M
2023 52,235 $1.79M
2024 28,725 $1.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,351 23,272 $1.81M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,038 25,357 $1.48M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,320 10,314 $1.21M
92083 26,210 26,130 $1.16M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15,069 15,014 $951K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 11,751 11,503 $685K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,512 7,482 $504K
92226 17,090 12,616 $441K
92134 16,879 16,782 $431K
92202 41,781 40,998 $416K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,735 4,734 $411K
92133 15,211 15,193 $393K
93886 2,571 2,563 $355K
93890 2,558 2,550 $326K
92225 11,539 8,528 $323K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,087 7,901 $301K
93892 2,563 2,555 $246K
92020 13,951 13,871 $237K
V2500 Contact lens, pmma, spherical, per lens 345 338 $220K
67028 Intravitreal injection of a pharmacologic agent 2,055 1,783 $169K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 9,267 4,942 $147K
92250 3,084 3,072 $127K
V2020 Frames, purchases 8,326 8,194 $118K
68761 1,873 1,021 $109K
92060 2,345 2,338 $104K
92015 Determination of refractive state 17,508 17,410 $103K
J9035 Injection, bevacizumab, 10 mg 1,562 1,350 $93K
92002 1,410 1,409 $78K
92285 3,689 3,624 $74K
66761 262 209 $67K
00142 669 630 $46K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1,662 829 $34K
92145 3,206 3,202 $28K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 85 79 $25K
76514 2,659 2,654 $24K
92201 1,148 1,139 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 609 525 $17K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,321 868 $13K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 872 863 $12K
92273 133 133 $11K
V2784 Lens, polycarbonate or equal, any index, per lens 7,859 3,978 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 103 103 $8K
92286 279 278 $8K
92136 239 239 $7K
65855 29 25 $6K
76512 116 94 $6K
93000 448 448 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 307 303 $4K
67210 13 12 $4K
00103 38 38 $4K
92025 142 142 $4K
83861 309 183 $3K
99215 Prolong outpt/office vis 26 26 $2K
92235 32 32 $2K
99072 994 976 $2K
68200 29 24 $647.63
99441 25 25 $630.61
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 106 49 $514.44
36415 Collection of venous blood by venipuncture 378 375 $160.59
99421 12 12 $119.79
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 16 13 $97.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 14 12 $71.18
V2755 U-v lens, per lens 1,124 548 $0.00
99000 16 13 $0.00
A4262 Temporary, absorbable lacrimal duct implant, each 47 47 $0.00