Physician
Total Eye Care, LLC
Total Eye Care, LLC was paid $542K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.
33Billing provider infoTOTAL EYE CARE, LLC
FALL RIVER, MA 02720
FALL RIVER, MA 02720
33aNPI1174614184assigned 09/27/2006
33bProvider typeOphthalmology Physician
28Total paid$542K
24GClaims19,770
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Massachusetts
Rank by total paid#18 of 203
Median peer was paid$18K
This provider vs. median30×
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 | 4,084 | $107K | |
| 2019 | 2,958 | $85K | |
| 2020 | 2,474 | $70K | |
| 2021 | 2,820 | $78K | |
| 2022 | 2,600 | $71K | |
| 2023 | 2,472 | $70K | |
| 2024incomplete | 2,362 | $61K |
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 | 39% | 3,877 | 3,849 | $211K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 18% | 2,954 | 2,766 | $98K |
| 92015 | Determination of refractive state | 12% | 5,116 | 5,088 | $63K |
| 92250 | 10% | 3,087 | 2,281 | $57K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 967 | 920 | $37K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.2% | 438 | 438 | $28K |
| 92083 | 2.8% | 814 | 595 | $15K | |
| 92285 | 2.1% | 1,888 | 1,495 | $12K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 104 | 104 | $9K |
| 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 | 1.1% | 80 | 78 | $6K |
| 92133 | <1% | 428 | 312 | $5K | |
| 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% | 17 | 17 | $2K |
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 officialALI, IMAN (PRESIDENT)