Mccombie, Stephen
Mccombie, Stephen was paid $110K by Medicaid between Oct 2020 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoMCCOMBIE, STEPHEN
EVERETT, PA 15537
EVERETT, PA 15537
33aNPI1821031931assigned 06/14/2006
33bProvider typeOptometrist
28Total paid$110K
24GClaims3,556
24DCodes billed9
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#223 of 983
Median peer was paid$20K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2020 | 84 | $2K | |
| 2021 | 901 | $27K | |
| 2022 | 925 | $27K | |
| 2023 | 867 | $25K | |
| 2024incomplete | 779 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 685 | 685 | $35K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 25% | 922 | 913 | $28K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 175 | 175 | $12K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 8.0% | 295 | 292 | $9K |
| V2500 | Contact lens, pmma, spherical, per lens | 7.8% | 131 | 127 | $9K |
| 92015 | Determination of refractive state | 7.2% | 1,153 | 1,153 | $8K |
| V2020 | Frames, purchases | 5.8% | 78 | 78 | $6K |
| 92310 | 3.3% | 103 | 95 | $4K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 14 | 14 | $565.00 |
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.