Werner, Marc

Werner, Marc was paid $13K by Medicaid between Feb 2019 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoWERNER, MARC
GARDEN CITY, NY 11530

33aNPI1760462048assigned 01/20/2006

33bProvider typeOphthalmology Physician

28Total paid$13K

24GClaims467

24DCodes billed4

24AFirst – last monthFeb 2019 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#677 of 1,085

Median peer was paid$34K

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
2019	14	$339.12
2020	60	$2K
2021	27	$1K
2022	58	$1K
2023	161	$4K
2024incomplete	147	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	73%	366	354	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	41	40	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	9.3%	47	43	$1K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.9%	13	13	$494.04

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.