Dalton, Mark
Dalton, Mark was paid $296K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.
33Billing provider infoDALTON, MARK
SULLIVAN, MO 63080
SULLIVAN, MO 63080
33aNPI1942291547assigned 11/02/2005
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$296K
24GClaims11,646
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Missouri
Rank by total paid#2 of 12
Median peer was paid$39K
This provider vs. median7.6×
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 | 1,532 | $22K | |
| 2019 | 1,214 | $19K | |
| 2020 | 1,076 | $22K | |
| 2021 | 1,519 | $33K | |
| 2022 | 2,298 | $67K | |
| 2023 | 2,304 | $82K | |
| 2024incomplete | 1,703 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37% | 1,906 | 1,805 | $109K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 1,815 | 1,711 | $92K |
| V2020 | Frames, purchases | 16% | 1,418 | 1,332 | $48K |
| 92015 | Determination of refractive state | 5.6% | 3,515 | 3,419 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.2% | 518 | 428 | $15K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.1% | 2,446 | 2,320 | $15K |
| 2026F | 0% | 28 | 12 | $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.