Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Milford › NPI 1912499765

Stapleton, Zachary

Stapleton, Zachary was paid $52K by Medicaid between May 2020 and Nov 2022, across 12 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 26% of everything it billed.

33Billing provider infoSTAPLETON, ZACHARY
MILFORD, OH 45150
33aNPI1912499765assigned 06/06/2018
33bProvider typeOptometrist
28Total paid$52K
24GClaims2,896
24DCodes billed12
24AFirst – last monthMay 2020 – Nov 2022
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#499 of 1,098
Median peer was paid$41K
This provider vs. median1.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20202,510$47K
202147$673.20
2022339$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 26% 539 537 $13K
V2020 Frames, purchases 22% 694 691 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 22% 263 263 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16% 194 194 $8K
V2784 Lens, polycarbonate or equal, any index, per lens 8.8% 546 543 $5K
S0621 Routine ophthalmological examination including refraction; established patient 3.1% 38 37 $2K
S0620 Routine ophthalmological examination including refraction; new patient 2.5% 31 31 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 12 12 $240.00
V2750 Anti-reflective coating, per lens 0% 72 71 $0.00
92015 Determination of refractive state 0% 482 481 $0.00
V2755 U-v lens, per lens 0% 12 12 $0.00
V2799 Vision item or service, miscellaneous 0% 13 13 $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.