Atlantic Coast Ophthalmology, P.C.

Atlantic Coast Ophthalmology, P.C. was paid $128K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.

33Billing provider infoATLANTIC COAST OPHTHALMOLOGY, P.C.
LYNN, MA 01902

33aNPI1013048180assigned 03/08/2007

33bProvider typeOphthalmology Physician

28Total paid$128K

24GClaims3,314

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#53 of 203

Median peer was paid$18K

This provider vs. median7.2×

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

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	407	$10K
2019	466	$13K
2020	402	$15K
2021	572	$27K
2022	908	$36K
2023	493	$25K
2024incomplete	66	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	41%	973	921	$53K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	32%	420	412	$41K
92015	Determination of refractive state	15%	1,403	1,337	$19K
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	9.6%	221	219	$12K
92250		<1%	89	52	$1K
92083		<1%	64	43	$1K
92285		<1%	130	84	$906.50
99443		<1%	14	14	$182.34

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 officialGROSS, NEIL (PRESIDENT)