Physician
Manchester Ophthalmology, LLC
Manchester Ophthalmology, LLC was paid $239K by Medicaid between Jan 2018 and Jan 2023, across 14 billing codes. Its largest line is 92015, Determination of refractive state — 39% of everything it billed.
33Billing provider infoMANCHESTER OPHTHALMOLOGY, LLC
MANCHESTER, CT 06040
MANCHESTER, CT 06040
33aNPI1134324205assigned 06/19/2007
33bProvider typeOphthalmology Physician
28Total paid$239K
24GClaims9,783
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Ophthalmology Physician providers in Connecticut
Rank by total paid#18 of 97
Median peer was paid$13K
This provider vs. median18×
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 | 1,259 | $37K | |
| 2019 | 1,801 | $53K | |
| 2020 | 2,492 | $50K | |
| 2021 | 2,614 | $50K | |
| 2022 | 1,554 | $48K | |
| 2023 | 63 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 39% | 4,481 | 3,476 | $92K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 35% | 3,118 | 2,444 | $83K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.3% | 490 | 397 | $22K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 7.4% | 103 | 66 | $18K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.7% | 616 | 435 | $11K |
| 92136 | 2.4% | 242 | 182 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 253 | 189 | $4K |
| 92225 | <1% | 137 | 68 | $1K | |
| 92002 | <1% | 63 | 13 | $430.30 | |
| 76514 | <1% | 101 | 51 | $319.62 | |
| 92226 | <1% | 60 | 27 | $252.00 | |
| 92025 | <1% | 53 | 12 | $205.04 |
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 officialCARLTON, RICHARD (OWNER)