Pediatric Ophthalmology Associates, P.C.
Pediatric Ophthalmology Associates, P.C. was paid $886K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.C.
OMAHA, NE 68114
OMAHA, NE 68114
33aNPI1003080938assigned 04/22/2008
33bProvider typeSpecialist
28Total paid$886K
24GClaims30,761
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Nebraska
Rank by total paid#3 of 14
Median peer was paid$105K
This provider vs. median8.5×
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
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 | 2,578 | $92K | |
| 2019 | 3,038 | $107K | |
| 2020 | 3,114 | $105K | |
| 2021 | 4,474 | $113K | |
| 2022 | 5,067 | $133K | |
| 2023 | 6,585 | $180K | |
| 2024incomplete | 5,905 | $156K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 41% | 8,767 | 7,224 | $362K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 27% | 3,450 | 2,705 | $243K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 5,519 | 4,535 | $180K |
| 92015 | Determination of refractive state | 10% | 12,654 | 10,244 | $91K |
| 92060 | <1% | 323 | 219 | $8K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 18 | 18 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 16 | 13 | $973.90 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 14 | 14 | $495.35 |
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.
From NPPES
Who's on the registration
Authorized officialSTOFFER, DYLAN (CREDENTIALING & CONTRACTING MANAGER)