Martinelli, John
Martinelli, John was paid $305K by Medicaid between Oct 2020 and Nov 2024, across 12 billing codes. Its largest line is V2020, Frames, purchases — 42% of everything it billed.
33Billing provider infoMARTINELLI, JOHN
CHARLEROI, PA 15022
CHARLEROI, PA 15022
33aNPI1730160763assigned 11/08/2005
33bProvider typeOptometrist
28Total paid$305K
24GClaims7,815
24DCodes billed12
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#89 of 983
Median peer was paid$20K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 408 | $17K | |
| 2021 | 1,986 | $78K | |
| 2022 | 1,976 | $79K | |
| 2023 | 2,260 | $87K | |
| 2024incomplete | 1,185 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 42% | 2,056 | 2,033 | $128K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 20% | 1,990 | 1,988 | $60K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 1,574 | 1,549 | $49K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 6.5% | 658 | 658 | $20K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.1% | 657 | 616 | $19K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.1% | 404 | 394 | $9K |
| 92250 | 2.6% | 171 | 168 | $8K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 120 | 119 | $5K |
| 92133 | 1.5% | 134 | 133 | $5K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 26 | 26 | $1K |
| S0500 | Disposable contact lens, per lens | <1% | 13 | 13 | $815.99 |
| 92083 | <1% | 12 | 12 | $812.68 |
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.