Koch Eye Associates LLP
Koch Eye Associates LLP was paid $1.80M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 18% of everything it billed.
33Billing provider infoKOCH EYE ASSOCIATES LLP
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1194881961assigned 12/28/2006
33bProvider typeOptometrist
28Total paid$1.80M
24GClaims55,314
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#4 of 209
Median peer was paid$24K
This provider vs. median76×
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 | 9,331 | $228K | |
| 2019 | 10,627 | $310K | |
| 2020 | 5,307 | $149K | |
| 2021 | 8,382 | $240K | |
| 2022 | 6,934 | $233K | |
| 2023 | 10,408 | $430K | |
| 2024incomplete | 4,325 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 18% | 1,510 | 1,146 | $331K |
| 92015 | Determination of refractive state | 11% | 11,751 | 10,794 | $205K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 6,871 | 6,180 | $202K |
| V2020 | Frames, purchases | 8.5% | 8,468 | 8,204 | $154K |
| 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 | 8.0% | 3,864 | 3,390 | $145K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.7% | 2,537 | 2,416 | $102K |
| J0178 | Injection, aflibercept, 1 mg | 5.5% | 106 | 91 | $100K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.5% | 5,915 | 5,693 | $99K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.2% | 1,955 | 1,819 | $94K |
| 92134 | 4.4% | 3,589 | 3,155 | $80K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 4.4% | 1,738 | 1,702 | $79K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 4.4% | 596 | 400 | $79K |
19 more codes
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.0% | 587 | $36K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1.1% | 1,217 | $20K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 378 | $16K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 783 | $11K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 158 | $8K |
| 92136 | <1% | 643 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 181 | $7K |
| 92202 | <1% | 840 | $6K | |
| 92250 | <1% | 236 | $5K | |
| 92341 | <1% | 209 | $4K | |
| 92225 | <1% | 299 | $4K | |
| 83861 | <1% | 192 | $2K | |
| 92226 | <1% | 309 | $2K | |
| 92025 | <1% | 201 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 35 | $752.87 |
| 92002 | <1% | 22 | $749.54 | |
| 92235 | <1% | 18 | $742.15 | |
| 92201 | <1% | 48 | $657.33 | |
| 92133 | <1% | 58 | $254.38 |
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 officialWESTERFELD, COREY (CHIEF MEDICAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Eye Health Associates SPN LLC | Dartmouth, MA | $467K |
| Candescent Eye Health Surgicenter, LLC | Dartmouth, MA | $369K |
| Eye Health Associates of Rhode Island INC | Middletown, RI | $112K |
| Koch Eye Associates LLP | Johnston, RI | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.