Zimmer, Mark
Zimmer, Mark was paid $92K by Medicaid between Jan 2018 and Mar 2023, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 28% of everything it billed.
33Billing provider infoZIMMER, MARK
INDEPENDENCE, IA 50644
INDEPENDENCE, IA 50644
33aNPI1689670598assigned 06/24/2005
33bProvider typeOptometrist
28Total paid$92K
24GClaims3,045
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#134 of 521
Median peer was paid$28K
This provider vs. median3.3×
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 | 1,112 | $30K | |
| 2019 | 826 | $23K | |
| 2020 | 288 | $10K | |
| 2021 | 355 | $13K | |
| 2022 | 409 | $15K | |
| 2023 | 55 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 28% | 576 | 566 | $26K |
| V2020 | Frames, purchases | 28% | 1,027 | 984 | $26K |
| 92002 | 25% | 423 | 415 | $23K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.8% | 66 | 61 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.9% | 87 | 81 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.9% | 180 | 166 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.0% | 88 | 85 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 40 | 39 | $1K |
| 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 | <1% | 14 | 14 | $502.60 |
| V2756 | Eye glass case | <1% | 482 | 471 | $498.96 |
| 92015 | Determination of refractive state | <1% | 62 | 61 | $15.05 |
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.