Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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92012

Ophthalmological services: medical examination and evaluation, intermediate, established patient

Medicaid paid $435.81M on code 92012 from 2018 through 2024, to 8,482 providers — the #312 code in the file by dollars. 29% of it was billed in New York.

28Total paid$435.81M
24GClaims10,441,311
Paid per claim line$41.74
33Providers billing it8,482
Box 32 · Location

Where 92012 is billed

  1. NYNew York
    $128M
  2. CACalifornia
    $60M
  3. PRPuerto Rico
    $35M
  4. TXTexas
    $16M
  5. AZArizona
    $16M
  6. MAMassachusetts
    $12M
  7. NJNew Jersey
    $12M
  8. LALouisiana
    $11M
  9. ILIllinois
    $11M
  10. FLFlorida
    $11M
  11. VAVirginia
    $9.2M
  12. MSMississippi
    $7.8M

The largest of 54 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing 92012

#ProviderLocationClaimsPaid on 92012
1 New York Eye & Ear Infirmary New York City, NY 94,248 $9.37M
2 The New York and Presbyterian Hospital New York, NY 43,990 $5.41M
3 Nationwide Optometry P.C. Tempe, AZ 163,026 $5.15M
4 Ahava Medical and Rehabilitation Center, LLC Brooklyn, NY 29,411 $3.91M
5 Yukon Kuskokwim Health Corp Bethel, AK 5,684 $3.55M
6 Phoenix Children's Hospital Phoenix, AZ 38,496 $3.34M
7 Best Ophthalmology, P.C. Flushing, NY 36,572 $3.30M
8 Bronxcare Health System Bronx, NY 32,724 $2.90M
9 Froedtert Memorial Lutheran Hospital, INC. Milwaukee, WI 59,814 $2.88M
10 Virginia Commonwealth University Health System Authority Richmond, VA 19,309 $2.78M
11 NJ Eye and Ear LLC Englewood, NJ 57,961 $2.61M
12 Oda Primary Health Care Network, INC. Brooklyn, NY 34,851 $2.54M
13 Retina Institute of California Medical Group, a California Medical Par Pasadena, CA 100,912 $2.52M
14 Boston Medical Center Corporation Boston, MA 31,043 $2.32M
15 Advanced Retina Associates Medical Group, INC Reseda, CA 53,439 $2.09M
16 Medical University Hospital Authority Charleston, SC 19,240 $2.07M
17 De LA Pena Eye Clinic, a Medical Group, INC. Montebello, CA 76,999 $1.94M
18 Centro Oftalmologico Metropolitano CSP San Juan, PR 33,920 $1.82M
19 Premier Eye Care of Florida LLC Coral Gables, FL 29,762 $1.78M
20 Simons, Brad Jupiter, FL 12,882 $1.75M
21 Osu Center for Health Sciences Tulsa, OK 11,695 $1.59M
22 Chang, Keith New York, NY 27,358 $1.58M
23 Children's Hospital Colorado Aurora, CO 10,952 $1.57M
24 Recinto De Ciencias Medicas San Juan, PR 37,536 $1.52M
25 Icare Health Solutions LLC Miami, FL 24,486 $1.51M
26 North Shore-Lij Medical PC Great Neck, NY 16,930 $1.50M
27 Retina Vitreous Associates Medical Group Los Angeles, CA 34,024 $1.47M
28 Sight Medical Doctors PLLC Hauppauge, NY 20,260 $1.46M
29 Permanente Medical Group INC Stockton, CA 44,277 $1.45M
30 Union Community Health Center, INC. Bronx, NY 15,964 $1.45M
31 Eye Centers of America, LLC Bloomfield, NJ 29,798 $1.39M
32 New York City Health and Hospitals Corporation Brooklyn, NY 16,553 $1.36M
33 State of New York Comptrollers Office New York, NY 23,325 $1.34M
34 Oda Primary Health Care Network, INC. Brooklyn, NY 29,161 $1.33M
35 Mainegeneral Medical Center Augusta, ME 23,873 $1.29M
36 Serrano Eye Center Medical Group Los Angeles, CA 20,954 $1.28M
37 Montefiore Medical Center Bronx, NY 8,882 $1.27M
38 Union Square Eye Center LLC New York, NY 11,325 $1.27M
39 Southern California Permanente Medical Group Bellflower, CA 25,500 $1.26M
40 University of Oklahoma Heal Sci CTR College of Medicine Ophthalmology Oklahoma City, OK 10,046 $1.25M
41 Southern California Permanente Medical Group Los Angeles, CA 22,243 $1.25M
42 Refuah Health Center INC Spring Valley, NY 21,945 $1.25M
43 Southern California Permanente Medical Group San Diego, CA 29,002 $1.25M
44 Mid Atlantic Pemanente Medical Group Rockville, MD 13,790 $1.24M
45 Hawaii Permanente Medical Group INC Honolulu, HI 6,510 $1.21M
46 Childrens Eye Care P L L C Oklahoma City, OK 16,672 $1.18M
47 Vitreo Retinal Surgery PLLC Edina, MN 27,187 $1.16M
48 Icahn School of Medicine at Mount Sinai New York, NY 24,752 $1.15M
49 Medstar Washington Hospital Center Washington, DC 9,415 $1.15M
50 Medical Associates of Ebnhc East Boston, MA 17,943 $1.15M
51 Southern California Permanente Medical Group Panorama City, CA 24,005 $1.14M
52 Pacific Eye Institute, a Medical Group, INC. Upland, CA 39,266 $1.13M
53 Gotham Eye Medical, P.C. Bronx, NY 15,661 $1.11M
54 Southern California Permanente Medical Group Baldwin Park, CA 23,164 $1.08M
55 Sajid Malik, MD PC Jackson Heights, NY 12,895 $1.05M
56 ST. Barnabas Hospital Bronx, NY 11,699 $1.04M
57 The New York Eye & Ear Infirmary Ophthalmology Associates, P.C. New York, NY 20,736 $1.03M
58 Erick R Morales MD INC Oxnard, CA 21,560 $1.03M
59 Silva Caraballo, David San German, PR 17,865 $1.03M
60 Utah Navajo Health System, Incorporated Montezuma Creek, UT 2,442 $1.01M
61 San Antonio Eye Center, PA San Antonio, TX 13,825 $946K
62 Be Well Primary Health Care Center, LLC Brooklyn, NY 14,432 $924K
63 Unm Hospital Albuquerque, NM 18,899 $917K
64 Harry Robert Maximilan Koster, MD PC Richmond Hill, NY 13,990 $902K
65 Queens Optometric Care PLLC Bronx, NY 23,069 $900K
66 Mehran Taban M.D. INC. Torrance, CA 15,865 $892K
67 The Metrohealth System Cleveland, OH 13,412 $882K
68 Permanente Medical Group INC Richmond, CA 26,653 $882K
69 Newyork-Presbyterian-Queens Flushing, NY 13,061 $881K
70 Clearview Eye Surgery, PC New York, NY 12,039 $873K
71 Oppman, Eugene Independence, LA 18,932 $867K
72 Bronxcare DR. Martin Luther King JR. Health Center Bronx, NY 9,903 $859K
73 Martinez Lebron, Heriberto Guayama, PR 13,666 $845K
74 Novo-Vision Ophthalmology Clinic PSC Corozal, PR 18,218 $839K
75 Du, Ted Flushing, NY 16,155 $836K
76 Southwestern Eye Center LTD Scottsdale, AZ 16,689 $818K
77 Quantum Eye Group, INC. Long Beach, CA 17,504 $814K
78 Family Eye Care Ophthalmology, PC Brooklyn, NY 13,495 $805K
79 Grene Vision Group LLC Wichita, KS 19,231 $804K
80 Retina Care PSC Arecibo, PR 17,361 $799K
81 Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA 19,137 $799K
82 Texas Children's Physician Group Houston, TX 13,376 $786K
83 New York City Health and Hospitals Corporation Jamaica, NY 11,967 $780K
84 Monterey Bay Eye Associates Medical Group, a Medical Corporation Salinas, CA 12,272 $773K
85 Montalvo, Luis Arecibo, PR 15,757 $764K
86 Aguadilla Eye MD PSC Aguadilla, PR 13,230 $761K
87 New York City Health and Hospitals Corporation New York, NY 9,530 $759K
88 Montefiore Medical Center Bronx, NY 11,128 $755K
89 Chia Der Wu,md,pc Flushing, NY 8,393 $754K
90 Stegman, Zeev New York, NY 14,093 $752K
91 Bay Area Retina Associates Walnut Creek, CA 23,302 $752K
92 Peach Tree Healthcare Sacramento, CA 51,078 $732K
93 John R Prewett O D INC Santa Maria, CA 29,165 $724K
94 Rector & Visitors of the University of Virginia Charlottesville, VA 7,255 $722K
95 Recinto De Ciencias Medicas Carolina, PR 16,567 $722K
96 Ophthalmic Consultant, PLLC Flushing, NY 7,815 $716K
97 Perez Rodriguez, Eduardo Ponce, PR 13,177 $714K
98 Keith C Chang MD PLLC Brooklyn, NY 7,453 $691K
99 Mark D Fromer, MD PC Forest Hills, NY 11,751 $685K
100 California Retina Consultants Bakersfield, CA 10,736 $684K