Suffolk, Ralph
Suffolk, Ralph was paid $8K by Medicaid between Jan 2018 and Feb 2020, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoSUFFOLK, RALPH
CAMILLUS, NY 13031
CAMILLUS, NY 13031
33aNPI1215029285assigned 09/28/2006
33bProvider typeOptometrist
28Total paid$8K
24GClaims191
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#1,054 of 1,605
Median peer was paid$29K
This provider vs. median0.3×
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 | 138 | $5K | |
| 2019 | 37 | $2K | |
| 2020 | 16 | $693.43 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 34% | 36 | 36 | $3K |
| 92082 | 30% | 56 | 55 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 25 | 25 | $2K |
| 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 | 8.3% | 13 | 13 | $648.82 |
| 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 | 7.4% | 12 | 12 | $579.50 |
| 92015 | Determination of refractive state | <1% | 49 | 49 | $16.23 |
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.