Ophthalmic Partners PC
Ophthalmic Partners PC was paid $447K by Medicaid between Jan 2021 and Nov 2024, across 13 billing codes. Its largest line is 92060, — 36% of everything it billed.
33Billing provider infoOPHTHALMIC PARTNERS PC
BALA CYNWYD, PA 19004
BALA CYNWYD, PA 19004
33aNPI1114531688assigned 09/02/2020
33bProvider typeOptometrist
28Total paid$447K
24GClaims14,209
24DCodes billed13
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#51 of 983
Median peer was paid$20K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2021 | 3,535 | $99K | |
| 2022 | 3,741 | $104K | |
| 2023 | 4,066 | $123K | |
| 2024incomplete | 2,867 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92060 | 36% | 4,684 | 4,651 | $161K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 4,945 | 4,749 | $130K |
| 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 | 15% | 1,237 | 1,225 | $69K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 921 | 914 | $48K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.9% | 191 | 190 | $17K |
| 92083 | 2.3% | 366 | 345 | $10K | |
| 92015 | Determination of refractive state | 1.9% | 1,542 | 1,529 | $8K |
| 92133 | <1% | 81 | 76 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | 12 | $1K |
| 92020 | <1% | 82 | 76 | $539.20 | |
| 92025 | <1% | 104 | 97 | $531.94 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 14 | 14 | $141.11 |
1 more codes
| 92202 | <1% | 30 | $100.89 |
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 officialBAKER, NANCY (ADMINISTRATOR)