Bertke, Megan
Bertke, Megan was paid $7K by Medicaid between Jan 2024 and Dec 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 62% of everything it billed.
33Billing provider infoBERTKE, MEGAN
WEST MILTON, OH 45383
WEST MILTON, OH 45383
33aNPI1831768548assigned 06/18/2021
33bProvider typeOptometrist
28Total paid$7K
24GClaims469
24DCodes billed5
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#826 of 1,098
Median peer was paid$41K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 469 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 62% | 143 | 135 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 18% | 62 | 55 | $1K |
| V2020 | Frames, purchases | 16% | 83 | 76 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.5% | 18 | 13 | $234.00 |
| 92015 | Determination of refractive state | 0% | 163 | 155 | $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.