Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ophthalmology Physicians & Surgeons

Ophthalmology Physicians & Surgeons was paid $44K by Medicaid between Oct 2020 and Feb 2024, across 5 billing codes. Its largest line is 92250, — 55% of everything it billed.

33Billing provider infoOPHTHALMOLOGY PHYSICIANS & SURGEONS
HATBORO, PA 19040
33aNPI1003862459assigned 05/26/2006
33bProvider typeOptometrist
28Total paid$44K
24GClaims1,178
24DCodes billed5
24AFirst – last monthOct 2020 – Feb 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#363 of 983
Median peer was paid$20K
This provider vs. median2.2×

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$2.0K$4.0K2018201920202021202220232024
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
202027$918.96
2021467$18K
2022296$10K
2023345$13K
2024incomplete43$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92250 55% 564 544 $24K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16% 204 202 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 14% 286 272 $6K
92083 9.6% 82 80 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5.3% 42 39 $2K

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 officialBRASS, ROBIN (BILLING MANAGER)