Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Merckle, Stephen

Merckle, Stephen was paid $111K by Medicaid between Feb 2018 and Dec 2024, across 6 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 38% of everything it billed.

33Billing provider infoMERCKLE, STEPHEN
ROLESVILLE, NC 27571
33aNPI1780637496assigned 05/17/2006
33bProvider typeOptometrist
28Total paid$111K
24GClaims3,579
24DCodes billed6
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in North Carolina

Rank by total paid#215 of 636
Median peer was paid$41K
This provider vs. median2.7×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018374$10K
2019411$9K
2020193$3K
2021477$9K
2022230$7K
2023357$16K
2024incomplete1,537$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 38% 572 437 $42K
S0621 Routine ophthalmological examination including refraction; established patient 34% 580 469 $38K
92340 Fitting of spectacles, except for aphakia; monofocal 19% 1,073 1,049 $21K
92370 8.4% 1,277 1,250 $9K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 32 25 $250.11
92015 Determination of refractive state <1% 45 31 $184.40

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.