William Semmel Od PC
William Semmel Od PC was paid $189K by Medicaid between Oct 2019 and Dec 2024, across 10 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 34% of everything it billed.
33Billing provider infoWILLIAM SEMMEL OD PC
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
33aNPI1851507511assigned 05/16/2007
33bProvider typeOptometrist
28Total paid$189K
24GClaims7,013
24DCodes billed10
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#141 of 983
Median peer was paid$20K
This provider vs. median9.4×
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
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 | |
|---|---|---|---|
| 2019 | 186 | $6K | |
| 2020 | 557 | $15K | |
| 2021 | 1,760 | $47K | |
| 2022 | 1,727 | $46K | |
| 2023 | 2,072 | $53K | |
| 2024incomplete | 711 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 34% | 1,914 | 946 | $64K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 1,367 | 1,344 | $55K |
| V2020 | Frames, purchases | 24% | 1,304 | 1,145 | $46K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.3% | 1,424 | 618 | $8K |
| V2750 | Anti-reflective coating, per lens | 3.4% | 472 | 256 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.9% | 90 | 90 | $4K |
| V2760 | Scratch resistant coating, per lens | 1.2% | 326 | 175 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.2% | 75 | 51 | $2K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | <1% | 13 | 13 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 28 | 12 | $748.72 |
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.
From NPPES
Who's on the registration
Authorized officialSEMMEL, WILLIAM (PRESIDENT)