Davydova, Marina
Davydova, Marina was paid $13K by Medicaid between Sep 2021 and Jun 2023, across 6 billing codes. Its largest line is V2020, Frames, purchases — 26% of everything it billed.
33Billing provider infoDAVYDOVA, MARINA
BRIARWOOD, NY 11435
BRIARWOOD, NY 11435
33aNPI1740793843assigned 11/10/2017
33bProvider typeOptometrist
28Total paid$13K
24GClaims409
24DCodes billed6
24AFirst – last monthSep 2021 – Jun 2023
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#957 of 1,605
Median peer was paid$29K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 12 | $629.76 | |
| 2022 | 264 | $9K | |
| 2023 | 133 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 26% | 158 | 157 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26% | 69 | 69 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 21% | 112 | 111 | $3K |
| 92250 | 13% | 35 | 35 | $2K | |
| 92285 | 9.3% | 21 | 21 | $1K | |
| 92083 | 5.3% | 14 | 14 | $690.61 |
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.