Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Consulting Ophthalmologists, PC

Consulting Ophthalmologists, PC was paid $1.21M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 51% of everything it billed.

33Billing provider infoCONSULTING OPHTHALMOLOGISTS, PC
FARMINGTON, CT 06032
33aNPI1073561767assigned 05/04/2006
33bProvider typeOptometrist
28Total paid$1.21M
24GClaims40,940
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Connecticut

Rank by total paid#43 of 340
Median peer was paid$125K
This provider vs. median9.7×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20186,370$166K
20197,472$200K
20204,775$162K
20215,616$189K
20225,852$206K
20236,850$207K
2024incomplete4,005$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 51% 1,912 1,011 $623K
92015 Determination of refractive state 16% 9,807 7,628 $189K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13% 10,033 8,357 $158K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4.8% 4,315 3,486 $58K
67028 Intravitreal injection of a pharmacologic agent 4.2% 2,072 1,491 $50K
92134 2.5% 5,503 4,529 $30K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.4% 2,515 2,024 $30K
92133 1.6% 2,257 1,924 $20K
92083 1.4% 1,210 1,050 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.4% 375 340 $17K
92002 1.1% 568 505 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 100 65 $2K
5 more codes
92250 <1% 121 $941.26
92136 <1% 40 $862.22
99214 Doctor's office visit, returning patient (more involved) <1% 67 $578.41
92081 <1% 15 $171.01
92020 <1% 30 $158.30

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 officialMAZZOCCOLI, MARIA (DIRECTOR OF HIT)