Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Martin, David

Martin, David was paid $247K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 31% of everything it billed.

33Billing provider infoMARTIN, DAVID
AURORA, IL 60502
33aNPI1841204013assigned 07/27/2006
33bProvider typeOptometrist
28Total paid$247K
24GClaims8,461
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#242 of 1,069
Median peer was paid$56K
This provider vs. median4.4×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,436$41K
20191,405$40K
20201,254$37K
20211,158$33K
20221,075$32K
20231,166$35K
2024incomplete967$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 31% 2,557 2,241 $76K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 29% 1,570 1,357 $71K
92015 Determination of refractive state 22% 3,054 2,593 $55K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.6% 374 359 $19K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4.5% 264 158 $11K
92341 2.7% 238 205 $7K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.4% 86 83 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 152 145 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 12 12 $410.00
V2020 Frames, purchases <1% 12 12 $187.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 142 137 $0.21

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.