Ophthalmology Specialist of Queens PLLC

Ophthalmology Specialist of Queens PLLC was paid $125K by Medicaid between Nov 2022 and Dec 2024, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 56% of everything it billed.

33Billing provider infoOPHTHALMOLOGY SPECIALIST OF QUEENS PLLC
CORONA, NY 11368

33aNPI1033712567assigned 11/18/2020

33bProvider typeOphthalmologic Surgery Clinic/Center

28Total paid$125K

24GClaims1,766

24DCodes billed6

24AFirst – last monthNov 2022 – Dec 2024

Compared with peers

Next to other Ophthalmologic Surgery Clinic/Center providers in New York

Rank by total paid#10 of 14

Median peer was paid$261K

This provider vs. median0.5×

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
2022	57	$0.00
2023	834	$57K
2024incomplete	875	$68K

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	56%	1,153	1,116	$70K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	20%	254	254	$24K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	19%	192	192	$23K
92083		5.8%	143	143	$7K
92020		<1%	12	12	$128.28
76514		<1%	12	12	$121.68

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 officialHORTA-SANTINI, JUAN (SOLE MEMBER)