Smith, Mark
Smith, Mark was paid $168K by Medicaid between Jan 2018 and Sep 2023, across 23 billing codes. Its largest line is 92015, Determination of refractive state — 44% of everything it billed.
33Billing provider infoSMITH, MARK
CHILLICOTHE, OH 45601
CHILLICOTHE, OH 45601
33aNPI1851392054assigned 08/10/2005
33bProvider typeOptometrist
28Total paid$168K
24GClaims23,163
24DCodes billed23
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#212 of 1,098
Median peer was paid$41K
This provider vs. median4.1×
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 | 5,395 | $32K | |
| 2019 | 4,815 | $30K | |
| 2020 | 2,456 | $17K | |
| 2021 | 5,434 | $36K | |
| 2022 | 4,199 | $33K | |
| 2023 | 864 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 44% | 3,793 | 3,657 | $74K |
| 92341 | 23% | 1,489 | 1,470 | $39K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 17% | 1,055 | 1,010 | $29K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.0% | 3,556 | 3,434 | $8K |
| 67820 | 4.5% | 718 | 626 | $8K | |
| 92225 | 2.5% | 991 | 470 | $4K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.0% | 1,756 | 1,691 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 393 | 384 | $833.16 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 152 | 144 | $712.63 |
| 68761 | <1% | 141 | 133 | $527.65 | |
| 92342 | <1% | 14 | 14 | $375.25 | |
| 92081 | <1% | 115 | 107 | $356.99 |
11 more codes
| 92202 | <1% | 46 | $121.34 | |
| 92285 | <1% | 26 | $47.94 | |
| 1036F | 0% | 1,172 | $0.00 | |
| 3284F | 0% | 91 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,643 | $0.00 |
| 4177F | 0% | 386 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,840 | $0.00 |
| 2027F | 0% | 208 | $0.00 | |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 544 | $0.00 |
| 2022F | 0% | 13 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 21 | $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.