Peninsula Eye Center PA

Peninsula Eye Center PA was paid $117K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.

33Billing provider infoPENINSULA EYE CENTER PA
SALISBURY, MD 21804

33aNPI1164546974assigned 03/19/2007

33bProvider typeOphthalmology Physician

28Total paid$117K

24GClaims3,931

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Maryland

Rank by total paid#34 of 124

Median peer was paid$19K

This provider vs. median6.1×

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	841	$51K
2019	718	$28K
2020	406	$4K
2021	500	$7K
2022	708	$11K
2023	477	$10K
2024incomplete	281	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	35%	966	932	$40K
92015	Determination of refractive state	30%	1,543	1,458	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	859	742	$29K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.8%	114	107	$7K
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	2.6%	288	253	$3K
92133		1.1%	74	65	$1K
92083		<1%	12	12	$680.88
92134		<1%	13	12	$453.26
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	0%	62	54	$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 officialLUPPENS, GARY (PRESIDENT)