Sarmiento, Marc
Sarmiento, Marc was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoSARMIENTO, MARC
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
33aNPI1932116449assigned 08/01/2006
33bProvider typeOptometrist
28Total paid$1.05M
24GClaims42,228
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#51 of 1,069
Median peer was paid$56K
This provider vs. median19×
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 | 3,923 | $98K | |
| 2019 | 4,261 | $112K | |
| 2020 | 4,899 | $131K | |
| 2021 | 8,673 | $213K | |
| 2022 | 7,980 | $191K | |
| 2023 | 6,525 | $153K | |
| 2024incomplete | 5,967 | $147K |
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 | 29% | 7,115 | 6,553 | $307K |
| 92015 | Determination of refractive state | 18% | 10,304 | 9,496 | $183K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 4,841 | 4,328 | $141K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 3,077 | 2,844 | $138K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.6% | 4,588 | 4,139 | $80K |
| V2025 | Deluxe frame | 6.6% | 1,815 | 1,687 | $69K |
| V2020 | Frames, purchases | 3.9% | 4,327 | 3,890 | $41K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.3% | 4,148 | 3,683 | $34K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.4% | 955 | 859 | $25K |
| 92341 | 2.3% | 860 | 769 | $24K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 172 | 151 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 26 | 26 | $1K |
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.