Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northeastern Eye Institute

Northeastern Eye Institute was paid $216K by Medicaid between Jan 2018 and Aug 2021, across 13 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 53% of everything it billed.

33Billing provider infoNORTHEASTERN EYE INSTITUTE
SCRANTON, PA 18503
33aNPI1194827568assigned 09/05/2006
33bProvider typeOphthalmology Physician
28Total paid$216K
24GClaims4,326
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#37 of 288
Median peer was paid$7K
This provider vs. median31×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018801$12K
2019935$12K
2020362$26K
20212,228$166K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 53% 122 95 $114K
67028 Intravitreal injection of a pharmacologic agent 22% 1,234 1,086 $47K
92134 8.1% 1,385 1,346 $18K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5.3% 575 568 $12K
J9035 Injection, bevacizumab, 10 mg 4.4% 250 197 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.9% 192 186 $8K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.2% 165 147 $3K
76519 <1% 46 40 $1K
92285 <1% 159 153 $1K
99243 <1% 14 14 $1K
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% 29 25 $636.59
92015 Determination of refractive state <1% 142 141 $564.90
1 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 $276.64

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 officialJORDAN, JEROME (MEMBER BOARD OF DIRECTORS)