Metzner, Donald
Metzner, Donald was paid $1.93M by Medicaid between Jan 2018 and Feb 2023, across 3 billing codes. Its largest line is V5298, Hearing aid, not otherwise classified — 92% of everything it billed.
33Billing provider infoMETZNER, DONALD
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
33aNPI1962579516assigned 11/29/2006
33bProvider typeHearing Instrument Specialist
28Total paid$1.93M
24GClaims7,259
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Hearing Instrument Specialist providers in California
Rank by total paid#9 of 60
Median peer was paid$208K
This provider vs. median9.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration92% of spending on code V5298 with only 3 total codes billed. Highly concentrated billing profile.
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 | 1,369 | $509K | |
| 2019 | 1,544 | $371K | |
| 2020 | 1,335 | $329K | |
| 2021 | 1,556 | $365K | |
| 2022 | 1,283 | $312K | |
| 2023 | 172 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V5298 | Hearing aid, not otherwise classified | 92% | 1,934 | 1,892 | $1.78M |
| V5014 | Repair/modification of a hearing aid | 5.0% | 3,784 | 2,839 | $96K |
| V5264 | Ear mold/insert, not disposable, any type | 2.8% | 1,541 | 1,504 | $54K |
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.