Rochester Ophthalmology, PLLC

Rochester Ophthalmology, PLLC was paid $22K by Medicaid between Jan 2020 and Aug 2022, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 79% of everything it billed.

33Billing provider infoROCHESTER OPHTHALMOLOGY, PLLC
ROCHESTER, MI 48307

33aNPI1023583564assigned 10/11/2018

33bProvider typeOphthalmology Physician

28Total paid$22K

24GClaims555

24DCodes billed4

24AFirst – last monthJan 2020 – Aug 2022

Compared with peers

Next to other Ophthalmology Physician providers in Michigan

Rank by total paid#65 of 106

Median peer was paid$51K

This provider vs. median0.4×

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
2020	70	$3K
2021	273	$10K
2022	212	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	79%	225	223	$17K
92015	Determination of refractive state	10%	284	278	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.2%	32	27	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.0%	14	14	$881.40

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 officialVRABEC, JOSHUA (SOLE MEMBER)