Pfahler, Scott

Pfahler, Scott was paid $16K by Medicaid between Jan 2018 and Jan 2024, across 4 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 59% of everything it billed.

33Billing provider infoPFAHLER, SCOTT
DAYTON, OH 45402

33aNPI1093923385assigned 05/18/2007

33bProvider typeOphthalmology Physician

28Total paid$16K

24GClaims1,059

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Ophthalmology Physician providers in Ohio

Rank by total paid#69 of 155

Median peer was paid$10K

This provider vs. median1.6×

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	319	$4K
2019	247	$3K
2020	154	$1K
2021	252	$6K
2022	73	$2K
2024incomplete	14	$158.61

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	59%	223	191	$10K
92134		29%	727	655	$5K
J9035	Injection, bevacizumab, 10 mg	7.9%	49	37	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.8%	60	58	$788.21

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.