Ondersma, Benjamin
Ondersma, Benjamin was paid $159K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoONDERSMA, BENJAMIN
COLUMBIA, SC 29229
COLUMBIA, SC 29229
33aNPI1649590936assigned 06/09/2010
33bProvider typeOptometrist
28Total paid$159K
24GClaims4,333
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#89 of 425
Median peer was paid$22K
This provider vs. median7.3×
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 | 160 | $4K | |
| 2019 | 328 | $10K | |
| 2020 | 463 | $16K | |
| 2021 | 1,182 | $49K | |
| 2022 | 1,207 | $45K | |
| 2023 | 591 | $21K | |
| 2024incomplete | 402 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 38% | 879 | 878 | $61K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 751 | 751 | $49K |
| 92015 | Determination of refractive state | 11% | 1,972 | 1,971 | $18K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 9.6% | 138 | 137 | $15K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.9% | 408 | 408 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.5% | 101 | 101 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.2% | 60 | 60 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | 12 | $783.00 |
| V2020 | Frames, purchases | <1% | 12 | 12 | $236.50 |
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.