Supplier
Pediatric Ophthalmology, PC
Pediatric Ophthalmology, PC was paid $2.89M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 41% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY, PC
TULSA, OK 74136
TULSA, OK 74136
33aNPI1053423947assigned 08/31/2006
33bProvider typeEyewear Supplier
28Total paid$2.89M
24GClaims133,371
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in Oklahoma
Rank by total paid#1 of 43
Median peer was paid$100K
This provider vs. median29×
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 | 18,640 | $397K | |
| 2019 | 19,531 | $425K | |
| 2020 | 17,029 | $376K | |
| 2021 | 19,563 | $431K | |
| 2022 | 21,711 | $480K | |
| 2023 | 21,303 | $467K | |
| 2024incomplete | 15,594 | $312K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 41% | 38,902 | 38,790 | $1.18M |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 19% | 23,017 | 22,932 | $536K |
| V2020 | Frames, purchases | 12% | 33,458 | 33,398 | $335K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 10% | 13,416 | 13,368 | $303K |
| 92370 | 9.5% | 10,204 | 10,023 | $275K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 4.3% | 6,046 | 6,018 | $125K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 1.9% | 2,679 | 2,672 | $56K |
| V2715 | Prism, per lens | <1% | 1,605 | 1,598 | $25K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 876 | 873 | $18K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 640 | 639 | $13K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 507 | 504 | $10K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 83 | 72 | $6K |
6 more codes
| 92015 | Determination of refractive state | <1% | 270 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 30 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 38 | $906.75 |
| V2109 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 24 | $390.60 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | $320.85 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,562 | $75.00 |
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 officialDENSLOW, GARY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Ophthalmology, PC | Tulsa, OK | $2.52M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.