Eye Consultants of Pennsylvania, PC
Eye Consultants of Pennsylvania, PC was paid $944K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 22% of everything it billed.
33Billing provider infoEYE CONSULTANTS OF PENNSYLVANIA, PC
WYOMISSING, PA 19610
WYOMISSING, PA 19610
33aNPI1033181904assigned 02/06/2006
33bProvider typeOptometrist
28Total paid$944K
24GClaims26,675
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#20 of 983
Median peer was paid$20K
This provider vs. median47×
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 | 222 | $2K | |
| 2019 | 349 | $3K | |
| 2020 | 893 | $30K | |
| 2021 | 6,258 | $359K | |
| 2022 | 7,282 | $213K | |
| 2023 | 6,759 | $200K | |
| 2024incomplete | 4,912 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 22% | 3,222 | 2,520 | $203K |
| J0178 | Injection, aflibercept, 1 mg | 18% | 1,085 | 993 | $175K |
| 92134 | 15% | 6,316 | 5,997 | $141K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 4,751 | 4,531 | $139K |
| 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 | 7.8% | 2,312 | 2,198 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 1,650 | 1,570 | $39K |
| 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 | 3.8% | 663 | 644 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 961 | 956 | $36K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.4% | 801 | 765 | $23K |
| J9035 | Injection, bevacizumab, 10 mg | 2.1% | 953 | 876 | $20K |
| 92133 | 1.8% | 696 | 674 | $17K | |
| 92015 | Determination of refractive state | 1.4% | 2,266 | 2,247 | $13K |
7 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 398 | $10K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 195 | $9K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 12 | $5K |
| 92020 | <1% | 219 | $3K | |
| 92025 | <1% | 91 | $2K | |
| 76514 | <1% | 28 | $169.98 | |
| J7999 | Compounded drug, not otherwise classified | 0% | 56 | $0.00 |
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 officialBUSACK, CHARLES (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Eye Consultants of Pennsylvania, PC | Blandon, PA | $987.42 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.