Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Baldwin-Mickey, Donna

Baldwin-Mickey, Donna was paid $82K by Medicaid between Jan 2018 and Oct 2019, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.

33Billing provider infoBALDWIN-MICKEY, DONNA
SYLVANIA, OH 43560
33aNPI1962553735assigned 01/16/2007
28Total paid$82K
24GClaims5,237
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Vision Therapy Optometrist providers in Ohio

Rank by total paid#2 of 5
Median peer was paid$45K
This provider vs. median1.8×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20183,080$48K
20192,157$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 41% 681 681 $33K
92015 Determination of refractive state 27% 1,062 1,060 $22K
92340 Fitting of spectacles, except for aphakia; monofocal 21% 789 782 $17K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 209 209 $9K
V2020 Frames, purchases 0% 848 830 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 0% 250 234 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 567 519 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 831 787 $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.