Physician
Eye Institute of Albuquerque, PC
Eye Institute of Albuquerque, PC was paid $511K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoEYE INSTITUTE OF ALBUQUERQUE, PC
ALBUQUERQUE, NM 87107
ALBUQUERQUE, NM 87107
33aNPI1073550513assigned 06/01/2006
33bProvider typeOphthalmology Physician
28Total paid$511K
24GClaims13,331
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in New Mexico
Rank by total paid#8 of 15
Median peer was paid$511K
This provider vs. median1.0×
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 | 1,964 | $73K | |
| 2019 | 2,416 | $75K | |
| 2020 | 2,043 | $57K | |
| 2021 | 3,027 | $97K | |
| 2022 | 1,522 | $68K | |
| 2023 | 1,480 | $75K | |
| 2024incomplete | 879 | $66K |
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 | 38% | 2,662 | 2,657 | $192K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37% | 2,350 | 2,333 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 955 | 880 | $34K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.9% | 679 | 676 | $25K |
| V2020 | Frames, purchases | 3.7% | 931 | 926 | $19K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.4% | 240 | 240 | $18K |
| 92015 | Determination of refractive state | 3.2% | 4,361 | 4,339 | $16K |
| V2025 | Deluxe frame | 2.2% | 227 | 226 | $11K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 14 | 13 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 660 | 655 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 157 | 156 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 83 | 73 | $883.00 |
1 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 12 | $103.68 |
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 officialLOVATO, ALFRED (PRESIDENT / CEO)