Physician
Surgical & Medical Ophthalmology LLC
Surgical & Medical Ophthalmology LLC was paid $9K by Medicaid between Jan 2018 and Feb 2022, across 10 billing codes. Its largest line is 92015, Determination of refractive state — 49% of everything it billed.
33Billing provider infoSURGICAL & MEDICAL OPHTHALMOLOGY LLC
MANCHESTER, CT 06040
MANCHESTER, CT 06040
33aNPI1184818189assigned 09/02/2007
33bProvider typeOphthalmology Physician
28Total paid$9K
24GClaims4,212
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Ophthalmology Physician providers in Connecticut
Rank by total paid#54 of 97
Median peer was paid$13K
This provider vs. median0.7×
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 | 1,685 | $5K | |
| 2019 | 1,553 | $4K | |
| 2020 | 565 | $0.07 | |
| 2021 | 371 | $0.00 | |
| 2022 | 38 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 49% | 138 | 107 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 48% | 175 | 156 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.1% | 27 | 26 | $278.25 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 981 | 877 | $0.03 |
| 4040F | <1% | 903 | 807 | $0.02 | |
| 1036F | <1% | 814 | 732 | $0.02 | |
| G8482 | Influenza immunization administered or previously received | <1% | 506 | 447 | $0.01 |
| 0517F | 0% | 81 | 75 | $0.00 | |
| 2027F | 0% | 26 | 26 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 561 | 509 | $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 officialDOWNES, DEBORAH (BUSINESS OWNER)