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

Radcliffe, Nathan

Radcliffe, Nathan was paid $501K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 18% of everything it billed.

33Billing provider infoRADCLIFFE, NATHAN
NEW YORK, NY 10021
33aNPI1124229810assigned 05/30/2007
33bProvider typeOphthalmology Physician
28Total paid$501K
24GClaims19,237
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#178 of 1,085
Median peer was paid$34K
This provider vs. median15×

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
20181,367$11K
2019427$6K
2020914$18K
20212,559$46K
20223,400$103K
20235,125$147K
2024incomplete5,445$169K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 18% 510 433 $88K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 2,788 2,725 $85K
92133 12% 4,091 4,064 $62K
92083 11% 2,237 2,226 $54K
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 9.4% 915 912 $47K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6.4% 1,237 1,226 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5.5% 529 527 $28K
92136 3.3% 646 638 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.2% 738 703 $16K
92020 2.3% 1,277 1,272 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.3% 165 164 $11K
65855 1.8% 96 87 $9K
12 more codes
92132 1.5% 1,024 $8K
92134 1.4% 450 $7K
99204 Doctor's office visit, new patient (more involved) 1.1% 73 $6K
92250 1.0% 299 $5K
92202 <1% 714 $5K
92286 <1% 118 $3K
66982 <1% 17 $3K
92145 <1% 868 $2K
76514 <1% 384 $2K
66821 <1% 25 $1K
76519 <1% 12 $299.00
99080 0% 24 $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.