1063561439

1063561439 was paid $1.08M by Medicaid between Jan 2018 and Dec 2021, across 40 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 15% of everything it billed.

33Billing provider info1063561439

33aNPI1063561439

33bProvider type—

28Total paid$1.08M

24GClaims36,474

24DCodes billed40

24AFirst – last monthJan 2018 – Dec 2021

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	6,833	$271K
2019	9,305	$255K
2020	6,404	$175K
2021	13,932	$376K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	15%	4,036	3,967	$165K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	13%	2,162	2,139	$139K
68761		8.2%	2,418	1,116	$88K
92134		6.8%	3,900	3,846	$73K
92250		6.8%	2,459	2,389	$73K
67028	Intravitreal injection of a pharmacologic agent	5.8%	1,256	1,011	$62K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.6%	1,909	1,812	$60K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	3.3%	198	182	$36K
92235		3.3%	830	821	$35K
J9035	Injection, bevacizumab, 10 mg	3.0%	1,127	918	$32K
92226		2.9%	2,803	1,721	$31K
67228		2.7%	127	107	$29K

28 more codes

92273		2.6%	700	$28K
92083		2.4%	793	$25K
99214	Doctor's office visit, returning patient (more involved)	2.1%	458	$23K
92225		2.0%	1,352	$21K
92242		1.9%	185	$20K
92202		1.5%	3,072	$16K
92133		1.4%	774	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.4%	692	$15K
99213	Doctor's office visit, returning patient (routine)	1.1%	429	$12K
92020		<1%	1,146	$10K
92285		<1%	384	$9K
92286		<1%	261	$8K
76519		<1%	315	$7K
92275		<1%	115	$5K
99204	Doctor's office visit, new patient (more involved)	<1%	73	$5K
93880		<1%	119	$4K
92025		<1%	386	$4K
93892		<1%	132	$4K
93886		<1%	132	$4K
93890		<1%	133	$4K
66982		<1%	15	$4K
76514		<1%	516	$3K
92145		<1%	744	$2K
66761		<1%	19	$2K
V2020	Frames, purchases	<1%	91	$981.16
92015	Determination of refractive state	<1%	100	$107.78
99080		0%	95	$0.00
A4263	Permanent, long term, non-dissolvable lacrimal duct implant, each	0%	18	$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.