Alterman Modi & Wolter Ophthalmic Physicians & Surgeons PLLC

Alterman Modi & Wolter Ophthalmic Physicians & Surgeons PLLC was paid $364K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 54% of everything it billed.

33Billing provider infoALTERMAN MODI & WOLTER OPHTHALMIC PHYSICIANS & SURGEONS PLLC
POUGHKEEPSIE, NY 12603

33aNPI1124188693assigned 12/12/2006

33bProvider typeOphthalmology Physician

28Total paid$364K

24GClaims3,368

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#208 of 1,085

Median peer was paid$34K

This provider vs. median11×

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	153	$20K
2019	164	$22K
2020	444	$61K
2021	667	$81K
2022	794	$78K
2023	821	$69K
2024incomplete	325	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	54%	1,375	1,375	$197K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	33%	1,051	1,051	$122K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	6.3%	308	247	$23K
92250		4.8%	502	502	$17K
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	<1%	12	12	$2K
92134		<1%	41	39	$1K
92002		<1%	12	12	$995.35
92015	Determination of refractive state	<1%	54	54	$242.28
76514		<1%	13	13	$104.61

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 officialMODI, SATISH (PARTNER)