Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Douglas J Lavenburg MD PA

Douglas J Lavenburg MD PA was paid $67K by Medicaid between Jan 2019 and Oct 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.

33Billing provider infoDOUGLAS J LAVENBURG MD PA
ELKTON, MD 21921
33aNPI1831276385assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$67K
24GClaims2,551
24DCodes billed9
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers

Next to other Optometrist providers in Maryland

Rank by total paid#117 of 345
Median peer was paid$27K
This provider vs. median2.5×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2019253$2K
202039$709.10
202129$546.39
2022430$15K
20231,082$32K
2024incomplete718$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 35% 499 444 $23K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 548 462 $21K
92015 Determination of refractive state 18% 1,278 1,154 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6.8% 85 78 $5K
S0621 Routine ophthalmological examination including refraction; established patient 3.8% 36 36 $3K
S0620 Routine ophthalmological examination including refraction; new patient 3.3% 30 29 $2K
92083 2.5% 45 37 $2K
92133 <1% 17 12 $203.66
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 13 12 $0.00

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.

From NPPES

Who's on the registration

Authorized officialLAVENBURG, DOUGLAS (PRESIDENT)