Mangold, Terry
Mangold, Terry was paid $39K by Medicaid between Jan 2018 and Aug 2019, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.
33Billing provider infoMANGOLD, TERRY
KEYSER, WV 26726
KEYSER, WV 26726
33aNPI1689671877assigned 07/01/2005
33bProvider typeOptometrist
28Total paid$39K
24GClaims794
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Optometrist providers in West Virginia
Rank by total paid#72 of 115
Median peer was paid$82K
This provider vs. median0.5×
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 | 754 | $37K | |
| 2019 | 40 | $2K |
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 | 23% | 161 | 159 | $9K |
| V2020 | Frames, purchases | 23% | 180 | 180 | $9K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 19% | 171 | 171 | $7K |
| 92015 | Determination of refractive state | 17% | 136 | 136 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.2% | 79 | 79 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.4% | 41 | 41 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 13 | 13 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 13 | 13 | $555.32 |
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.