Physician
Specialty MD INC
Specialty MD INC was paid $1.61M by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 23% of everything it billed.
33Billing provider infoSPECIALTY MD INC
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
33aNPI1013092071assigned 10/26/2006
33bProvider typeOphthalmology Physician
28Total paid$1.61M
24GClaims75,427
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New Jersey
Rank by total paid#10 of 213
Median peer was paid$20K
This provider vs. median82×
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 | 8,213 | $207K | |
| 2019 | 9,038 | $210K | |
| 2020 | 8,354 | $204K | |
| 2021 | 12,336 | $302K | |
| 2022 | 12,410 | $230K | |
| 2023 | 15,544 | $272K | |
| 2024incomplete | 9,532 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 23% | 16,659 | 14,646 | $366K |
| 92250 | 9.2% | 6,629 | 6,439 | $148K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 2,408 | 2,362 | $142K |
| 76512 | 5.8% | 4,152 | 3,764 | $93K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 2,827 | 2,691 | $93K |
| 92083 | 5.3% | 5,651 | 5,445 | $84K | |
| 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 | 4.4% | 1,090 | 1,072 | $71K |
| 65778 | 4.0% | 154 | 145 | $64K | |
| 66762 | 2.7% | 380 | 351 | $44K | |
| 92133 | 2.6% | 3,846 | 3,743 | $42K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.5% | 2,619 | 2,330 | $40K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.5% | 1,073 | 1,051 | $40K |
32 more codes
| 92286 | 2.4% | 4,113 | $39K | |
| 92134 | 2.2% | 3,116 | $36K | |
| 92226 | 2.1% | 2,783 | $34K | |
| 93892 | 2.1% | 397 | $33K | |
| 92225 | 2.1% | 1,512 | $33K | |
| 92201 | 1.8% | 6,617 | $29K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.7% | 976 | $27K |
| 93890 | 1.7% | 399 | $27K | |
| 92235 | 1.2% | 800 | $20K | |
| 92020 | 1.2% | 2,028 | $19K | |
| 68761 | 1.0% | 709 | $17K | |
| 93886 | <1% | 380 | $15K | |
| 92287 | <1% | 512 | $12K | |
| 65855 | <1% | 155 | $10K | |
| 67210 | <1% | 70 | $9K | |
| 99441 | <1% | 773 | $5K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 436 | $4K |
| 92285 | <1% | 744 | $3K | |
| 92072 | <1% | 103 | $2K | |
| 96132 | <1% | 169 | $2K | |
| 92132 | <1% | 302 | $2K | |
| 76514 | <1% | 330 | $2K | |
| 92015 | Determination of refractive state | <1% | 63 | $867.52 |
| 68840 | <1% | 52 | $770.19 | |
| 92202 | <1% | 138 | $522.76 | |
| 92546 | <1% | 24 | $348.49 | |
| 67500 | <1% | 13 | $342.01 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 133 | $308.54 |
| V2500 | Contact lens, pmma, spherical, per lens | <1% | 27 | $288.00 |
| 92540 | <1% | 24 | $246.88 | |
| 92025 | <1% | 17 | $76.85 | |
| 92547 | <1% | 24 | $37.35 |
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 officialYLANAN, ZENITH (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| NJ Eye Professionals, LLC | South Plainfield, NJ | $242K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.