Malloy, Donna
Malloy, Donna was paid $3K by Medicaid between Jan 2018 and Apr 2021, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 55% of everything it billed.
33Billing provider infoMALLOY, DONNA
MANCHESTER, NJ 08759
MANCHESTER, NJ 08759
33aNPI1659458958assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims4,591
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#279 of 599
Median peer was paid$2K
This provider vs. median1.5×
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 | 1,220 | $1K | |
| 2019 | 1,541 | $861.14 | |
| 2020 | 1,378 | $539.47 | |
| 2021 | 452 | $134.40 |
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 | 55% | 923 | 917 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 500 | 498 | $812.66 |
| 92015 | Determination of refractive state | 8.3% | 785 | 777 | $223.30 |
| V2020 | Frames, purchases | 3.8% | 1,174 | 1,157 | $104.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.5% | 294 | 239 | $68.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 28 | 24 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 421 | 275 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 466 | 294 | $0.00 |
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.