Stephens, Donald

Stephens, Donald was paid $12K by Medicaid between Aug 2021 and May 2022, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.

33Billing provider infoSTEPHENS, DONALD
TALLMADGE, OH 44278

33aNPI1952304685assigned 05/26/2005

33bProvider typeOphthalmology Physician

28Total paid$12K

24GClaims695

24DCodes billed7

24AFirst – last monthAug 2021 – May 2022

Compared with peers

Next to other Ophthalmology Physician providers in Ohio

Rank by total paid#75 of 155

Median peer was paid$10K

This provider vs. median1.1×

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
2021	280	$5K
2022	415	$6K

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	48%	134	132	$6K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	23%	110	109	$3K
V2020	Frames, purchases	21%	165	161	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.4%	12	12	$514.56
V2784	Lens, polycarbonate or equal, any index, per lens	4.1%	53	52	$481.00
92015	Determination of refractive state	0%	189	186	$0.00
V2744	Tint, photochromatic, per lens	0%	32	31	$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.