Machiela, Douglas
Machiela, Douglas was paid $79K by Medicaid between May 2022 and Nov 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 92% of everything it billed.
33Billing provider infoMACHIELA, DOUGLAS
GREENACRES, FL 33463
GREENACRES, FL 33463
33aNPI1700879046assigned 08/23/2005
33bProvider typeOptometrist
28Total paid$79K
24GClaims1,698
24DCodes billed5
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#273 of 941
Median peer was paid$21K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2022 | 511 | $25K | |
| 2023 | 808 | $40K | |
| 2024incomplete | 379 | $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 | 92% | 403 | 387 | $73K |
| 92015 | Determination of refractive state | 3.3% | 532 | 508 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.6% | 330 | 318 | $2K |
| V2020 | Frames, purchases | 1.4% | 389 | 372 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 44 | 38 | $238.50 |
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.