Helfrich, Matthias
Helfrich, Matthias was paid $1.35M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.
33Billing provider infoHELFRICH, MATTHIAS
ELYRIA, OH 44035
ELYRIA, OH 44035
33aNPI1851480826assigned 10/11/2006
33bProvider typeOptometrist
28Total paid$1.35M
24GClaims63,833
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#17 of 1,098
Median peer was paid$41K
This provider vs. median33×
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 | 7,951 | $217K | |
| 2019 | 8,453 | $216K | |
| 2020 | 10,289 | $192K | |
| 2021 | 12,151 | $220K | |
| 2022 | 10,480 | $224K | |
| 2023 | 8,043 | $149K | |
| 2024incomplete | 6,466 | $134K |
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 | 26% | 8,586 | 8,441 | $345K |
| 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 | 16% | 3,515 | 3,410 | $221K |
| V2020 | Frames, purchases | 10% | 10,085 | 9,877 | $140K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.1% | 5,188 | 5,032 | $110K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.4% | 4,673 | 4,585 | $100K |
| 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 | 5.7% | 931 | 910 | $77K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.5% | 1,823 | 1,791 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 1,564 | 1,519 | $62K |
| 92250 | 4.4% | 2,849 | 2,780 | $60K | |
| 92015 | Determination of refractive state | 4.0% | 6,978 | 6,656 | $54K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.2% | 5,401 | 4,902 | $43K |
| 92341 | 1.3% | 664 | 652 | $17K |
20 more codes
| 92083 | 1.1% | 640 | $15K | |
| 92134 | 1.0% | 1,116 | $14K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 429 | $13K |
| 92133 | <1% | 323 | $4K | |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 30 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 156 | $830.04 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | $77.34 |
| 3072F | <1% | 1,339 | $0.03 | |
| 1036F | 0% | 1,734 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,718 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 273 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 64 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 46 | $0.00 |
| 99058 | 0% | 98 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,221 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 1,198 | $0.00 |
| 4004F | 0% | 60 | $0.00 | |
| 5010F | 0% | 39 | $0.00 | |
| 2022F | 0% | 65 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 14 | $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.