Tomsik, Mark
Tomsik, Mark was paid $135K by Medicaid between Jan 2018 and Sep 2021, across 11 billing codes. Its largest line is 92015, Determination of refractive state — 25% of everything it billed.
33Billing provider infoTOMSIK, MARK
MOSS POINT, MS 39563
MOSS POINT, MS 39563
33aNPI1679553697assigned 01/17/2006
33bProvider typeOptometrist
28Total paid$135K
24GClaims5,583
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#185 of 437
Median peer was paid$91K
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 | 1,763 | $50K | |
| 2019 | 1,695 | $44K | |
| 2020 | 1,030 | $23K | |
| 2021 | 1,095 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 25% | 1,487 | 1,344 | $33K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 386 | 350 | $26K |
| V2020 | Frames, purchases | 19% | 881 | 775 | $26K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 231 | 229 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 631 | 625 | $15K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.1% | 144 | 132 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.0% | 368 | 207 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 16 | 12 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 926 | 835 | $9.74 |
| 1036F | 0% | 498 | 457 | $0.00 | |
| 4004F | 0% | 15 | 13 | $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.