Doherty, Scott
Doherty, Scott was paid $136K by Medicaid between Apr 2019 and Apr 2022, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoDOHERTY, SCOTT
HAVRE DE GRACE, MD 21078
HAVRE DE GRACE, MD 21078
33aNPI1740733179assigned 08/02/2016
33bProvider typeOptometrist
28Total paid$136K
24GClaims11,288
24DCodes billed16
24AFirst – last monthApr 2019 – Apr 2022
Compared with peers
Next to other Optometrist providers in Maryland
Rank by total paid#65 of 345
Median peer was paid$27K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2019 | 1,741 | $18K | |
| 2020 | 4,346 | $62K | |
| 2021 | 4,332 | $46K | |
| 2022 | 869 | $10K |
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 | 38% | 555 | 549 | $52K |
| V2020 | Frames, purchases | 20% | 1,728 | 1,720 | $28K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 335 | 327 | $27K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 1,639 | 970 | $18K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.9% | 349 | 231 | $4K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 2.7% | 315 | 191 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 2,319 | 1,199 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | 12 | $896.61 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 21 | 13 | $280.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 17 | 13 | $175.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,580 | 1,575 | $25.00 |
| 92341 | <1% | 166 | 165 | $25.00 |
4 more codes
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.