Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Wallach, David

Wallach, David was paid $286K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 16% of everything it billed.

33Billing provider infoWALLACH, DAVID
JAMAICA, NY 11432
33aNPI1972717544assigned 05/10/2007
33bProvider typeOptometrist
28Total paid$286K
24GClaims8,450
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#314 of 1,605
Median peer was paid$29K
This provider vs. median9.8×

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$10K$20K2018201920202021202220232024
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
20181,249$19K
2019684$12K
2020327$10K
2021855$36K
2022787$30K
20232,391$87K
2024incomplete2,157$93K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 16% 1,073 1,060 $45K
92250 13% 785 769 $38K
92286 13% 504 497 $37K
92083 12% 657 643 $34K
76512 11% 636 319 $31K
92285 10% 766 751 $30K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8.0% 612 600 $23K
V2020 Frames, purchases 7.3% 1,521 1,470 $21K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3.2% 491 440 $9K
92060 1.5% 146 131 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 1.3% 255 254 $4K
76514 1.1% 356 354 $3K
9 more codes
92025 <1% 103 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 194 $2K
92015 Determination of refractive state <1% 66 $1K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 178 $610.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 34 $517.68
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 17 $276.00
92341 <1% 17 $260.00
92020 <1% 24 $210.14
V2715 Prism, per lens <1% 15 $24.00

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.