Roy, Mark
Roy, Mark was paid $448K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.
33Billing provider infoROY, MARK
THIBODAUX, LA 70301
THIBODAUX, LA 70301
33aNPI1851360424assigned 03/16/2006
33bProvider typeOptometrist
28Total paid$448K
24GClaims18,255
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#123 of 442
Median peer was paid$199K
This provider vs. median2.3×
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 | 4,053 | $109K | |
| 2019 | 4,421 | $112K | |
| 2020 | 2,139 | $54K | |
| 2021 | 2,180 | $54K | |
| 2022 | 1,871 | $43K | |
| 2023 | 1,843 | $40K | |
| 2024incomplete | 1,748 | $36K |
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 | 46% | 2,903 | 2,805 | $206K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 878 | 850 | $77K |
| V2020 | Frames, purchases | 15% | 4,080 | 3,903 | $65K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.7% | 2,685 | 2,554 | $44K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.0% | 3,133 | 3,051 | $40K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.8% | 144 | 143 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.8% | 671 | 639 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 30 | 30 | $376.35 |
| V2799 | Vision item or service, miscellaneous | <1% | 32 | 31 | $291.58 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | 12 | $188.19 |
| 92015 | Determination of refractive state | <1% | 3,686 | 3,523 | $5.60 |
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.