Medical Eye Associates, S.C.

Medical Eye Associates, S.C. was paid $35K by Medicaid between Jan 2018 and Apr 2024, across 3 billing codes. Its largest line is 92015, Determination of refractive state — 42% of everything it billed.

33Billing provider infoMEDICAL EYE ASSOCIATES, S.C.
WAUKESHA, WI 53188

33aNPI1023066636assigned 05/05/2006

33bProvider typeOphthalmology Physician

28Total paid$35K

24GClaims3,822

24DCodes billed3

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Ophthalmology Physician providers in Wisconsin

Rank by total paid#11 of 43

Median peer was paid$4K

This provider vs. median8.0×

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	691	$5K
2019	1,018	$9K
2020	549	$6K
2021	611	$5K
2022	518	$5K
2023	387	$4K
2024incomplete	48	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	42%	3,088	1,727	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	553	468	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24%	181	159	$8K

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 officialBERNSTEIN, DEBORAH (PRESIDENT)