Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Horizon Eye Care PA

Horizon Eye Care PA was paid $304K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.

33Billing provider infoHORIZON EYE CARE PA
MARGATE, NJ 08402
33aNPI1104866953assigned 06/08/2006
33bProvider typeOphthalmology Physician
28Total paid$304K
24GClaims144,760
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#43 of 213
Median peer was paid$20K
This provider vs. median16×

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$5.0K$10K2018201920202021202220232024
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
2018791$35K
20191,583$31K
20206,526$22K
202130,173$47K
202232,192$48K
202339,492$68K
2024incomplete34,003$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 43% 19,394 18,869 $132K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 22% 2,228 1,992 $67K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 9,303 9,124 $38K
92015 Determination of refractive state 10% 17,724 17,221 $31K
00142 5.2% 540 517 $16K
92136 2.1% 259 244 $6K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 2.1% 24 24 $6K
92083 <1% 157 152 $3K
92134 <1% 170 159 $2K
92133 <1% 139 129 $2K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 29 27 $664.23
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 12 12 $364.00
16 more codes
99213 Doctor's office visit, returning patient (routine) <1% 14 $270.93
92025 <1% 173 $149.64
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 7,874 $34.00
V2020 Frames, purchases <1% 18,985 $24.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 710 $0.00
V2750 Anti-reflective coating, per lens 0% 9,155 $0.00
V2760 Scratch resistant coating, per lens 0% 344 $0.00
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 0% 971 $0.00
V2744 Tint, photochromatic, per lens 0% 4,561 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 19,957 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 2,662 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 0% 21,150 $0.00
V2299 Specialty bifocal (by report) 0% 3,869 $0.00
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 0% 26 $0.00
V2781 Progressive lens, per lens 0% 4,002 $0.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 0% 328 $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.

From NPPES

Who's on the registration

Authorized officialBRUNO, SUZANNE (PRACTICE ADMINISTRATOR)