Appel, Martin
Appel, Martin was paid $22K by Medicaid between Jan 2018 and Oct 2018, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 26% of everything it billed.
33Billing provider infoAPPEL, MARTIN
MONCKS CORNER, SC 29461
MONCKS CORNER, SC 29461
33aNPI1780770941assigned 10/05/2006
33bProvider typeOptometrist
28Total paid$22K
24GClaims1,004
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#212 of 425
Median peer was paid$22K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 1,004 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 26% | 129 | 127 | $6K |
| 92015 | Determination of refractive state | 22% | 292 | 288 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 217 | 212 | $3K |
| 92002 | 13% | 74 | 74 | $3K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 11% | 174 | 173 | $2K |
| V2020 | Frames, purchases | 7.1% | 54 | 54 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.3% | 12 | 12 | $735.26 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.8% | 52 | 52 | $622.00 |
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.