METZNER, DONALD
NPI: 1962579516
· SACRAMENTO, CA 95816
· Hearing Instrument Specialist
· NPI assigned 11/29/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code V5298 with only 3 total codes billed. Highly concentrated billing profile.
$1.93M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,369 |
$509K |
| 2019 |
1,544 |
$371K |
| 2020 |
1,335 |
$329K |
| 2021 |
1,556 |
$365K |
| 2022 |
1,283 |
$312K |
| 2023 |
172 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V5298 |
Hearing aid, not otherwise classified |
1,934 |
1,892 |
$1.78M |
| V5014 |
Repair/modification of a hearing aid |
3,784 |
2,839 |
$96K |
| V5264 |
Ear mold/insert, not disposable, any type |
1,541 |
1,504 |
$54K |