Physician
Childrens Eye Center PLLC
Childrens Eye Center PLLC was paid $1.14M by Medicaid between Jan 2018 and Dec 2021, across 13 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 30% of everything it billed.
33Billing provider infoCHILDRENS EYE CENTER PLLC
TUCSON, AZ 85712
TUCSON, AZ 85712
33aNPI1174785224assigned 06/30/2008
33bProvider typeOphthalmology Physician
28Total paid$1.14M
24GClaims19,971
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Ophthalmology Physician providers in Arizona
Rank by total paid#10 of 78
Median peer was paid$44K
This provider vs. median26×
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 | 5,272 | $301K | |
| 2019 | 5,481 | $314K | |
| 2020 | 4,437 | $257K | |
| 2021 | 4,781 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 30% | 4,626 | 4,512 | $348K |
| 92060 | 17% | 3,443 | 3,354 | $189K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 13% | 1,098 | 1,071 | $151K |
| 92015 | Determination of refractive state | 11% | 7,077 | 6,917 | $123K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.5% | 827 | 800 | $86K |
| 99243 | 7.4% | 927 | 911 | $84K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 926 | 920 | $54K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.7% | 290 | 287 | $42K |
| 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 | 2.4% | 215 | 211 | $27K |
| 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 | 1.5% | 203 | 202 | $17K |
| 99242 | 1.1% | 195 | 185 | $13K | |
| 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% | 116 | 115 | $9K |
1 more codes
| 92285 | <1% | 28 | $483.02 |
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 officialDAY, DAVID (PRESIDENT)