Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › New York City › NPI 1245251222
Hospital

New York Eye & Ear Infirmary

New York Eye & Ear Infirmary was paid $38.92M by Medicaid between Jan 2018 and Dec 2024, across 142 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 24% of everything it billed.

33Billing provider infoNEW YORK EYE & EAR INFIRMARY
NEW YORK CITY, NY 10003
33aNPI1245251222assigned 07/22/2006
33bProvider typeSpecial Hospital
28Total paid$38.92M
24GClaims348,959
24DCodes billed142
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Special Hospital providers in New York

Rank by total paid#1 of 6
Median peer was paid$182K
This provider vs. median214×

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$500K$1.0M2018201920202021202220232024
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
20182,817$203K
201926,203$2.95M
202061,187$6.50M
202177,527$7.91M
202268,644$7.75M
202363,799$7.48M
2024incomplete48,782$6.13M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 24% 94,248 71,501 $9.37M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 13% 3,112 2,947 $5.14M
67311 10.0% 1,557 1,546 $3.89M
95810 Polysomnography; sleep staging with 4 or more additional parameters 4.5% 2,248 2,235 $1.73M
92002 4.4% 13,129 12,933 $1.73M
30140 4.1% 764 763 $1.60M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 4.0% 1,028 1,027 $1.56M
J0178 Injection, aflibercept, 1 mg 3.7% 2,779 1,701 $1.42M
92250 3.2% 17,140 14,900 $1.23M
42820 Tonsillectomy and adenoidectomy; younger than age 12 2.8% 640 639 $1.09M
67028 Intravitreal injection of a pharmacologic agent 1.9% 5,123 4,465 $726K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.7% 5,570 5,066 $656K
130 more codes
92060 1.7% 7,488 $655K
92083 1.5% 7,463 $570K
92134 1.4% 6,849 $545K
67113 1.3% 166 $494K
92567 1.2% 6,740 $473K
42830 1.2% 278 $456K
92133 1.1% 4,813 $420K
67228 1.1% 649 $416K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,529 $306K
92557 <1% 4,820 $293K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,842 $289K
67314 <1% 456 $241K
30520 <1% 587 $188K
92235 <1% 1,693 $184K
92020 <1% 2,299 $173K
L8699 Prosthetic implant, not otherwise specified <1% 752 $150K
21235 <1% 204 $146K
95782 <1% 181 $145K
76512 <1% 1,629 $137K
92604 <1% 1,364 $125K
J3490 Unclassified drugs <1% 31,644 $124K
92550 <1% 1,679 $121K
92136 <1% 1,618 $120K
95811 <1% 172 $118K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,193 $112K
92025 <1% 1,226 $112K
31231 <1% 353 $98K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 3,650 $94K
92285 <1% 1,223 $94K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,118 $93K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 4,923 $92K
V5020 Conformity evaluation <1% 1,306 $89K
V2632 Posterior chamber intraocular lens <1% 5,392 $85K
92579 <1% 1,062 $80K
92015 Determination of refractive state <1% 2,779 $70K
Q3014 Telehealth originating site facility fee <1% 1,914 $63K
65426 <1% 26 $62K
88304 <1% 1,996 $59K
31575 <1% 177 $46K
92626 <1% 652 $44K
69210 <1% 364 $41K
88173 <1% 941 $33K
92537 <1% 226 $29K
OP370 <1% 39 $28K
C9257 Injection, bevacizumab, 0.25 mg <1% 3,498 $27K
92524 <1% 231 $27K
92582 <1% 429 $25K
V2785 Processing, preserving and transporting corneal tissue <1% 25 $24K
99201 <1% 176 $23K
95800 <1% 143 $23K
31267 <1% 24 $21K
80048 Basic metabolic panel (calcium, ionized) <1% 994 $21K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 645 $21K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,374 $16K
92553 <1% 207 $15K
92540 <1% 279 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 650 $13K
81025 <1% 2,593 $13K
70480 <1% 92 $13K
70486 <1% 98 $12K
92593 <1% 244 $11K
80053 Comprehensive metabolic panel <1% 457 $11K
92520 <1% 113 $10K
92556 <1% 150 $9K
92552 <1% 105 $9K
92555 <1% 139 $9K
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml <1% 73 $8K
92622 <1% 67 $7K
88311 <1% 522 $6K
J3473 Injection, hyaluronidase, recombinant, 1 usp unit <1% 361 $6K
V5010 Assessment for hearing aid <1% 74 $6K
87070 <1% 1,254 $6K
97162 <1% 39 $5K
J3471 Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) <1% 74 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,182 $4K
92700 <1% 53 $4K
92132 <1% 47 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 76 $4K
87075 <1% 766 $3K
82947 <1% 2,912 $3K
36415 Collection of venous blood by venipuncture <1% 712 $3K
92603 <1% 26 $3K
OP272 <1% 27 $2K
87102 <1% 675 $2K
92585 <1% 17 $2K
92652 <1% 28 $2K
99203 Doctor's office visit, new patient (routine) <1% 15 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 110 $2K
OP710 <1% 13 $2K
92592 <1% 36 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 3,487 $1K
92082 <1% 17 $1K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 3,657 $1K
L8610 Ocular implant <1% 27 $1K
J7315 Mitomycin, ophthalmic, 0.2 mg <1% 14 $991.98
J2704 Injection, propofol, 10 mg <1% 8,376 $959.21
87186 <1% 97 $888.92
95992 <1% 22 $772.44
92591 <1% 13 $655.98
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 2,624 $534.42
76511 <1% 13 $532.99
76513 <1% 12 $418.33
88172 <1% 13 $372.80
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 599 $285.19
J3010 Injection, fentanyl citrate, 0.1 mg <1% 12,552 $259.63
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 9,433 $167.33
A9270 Non-covered item or service <1% 516 $165.78
J0690 Injection, cefazolin sodium, 500 mg <1% 2,907 $161.81
A4217 Sterile water/saline, 500 ml <1% 124 $157.62
J1170 Injection, hydromorphone, up to 4 mg <1% 2,438 $154.53
OP250 <1% 123 $134.47
88313 <1% 28 $128.86
92570 <1% 57 $128.68
C1780 Lens, intraocular (new technology) <1% 38 $108.47
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,572 $45.86
86780 <1% 28 $33.60
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,040 $32.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,365 $27.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 360 $27.21
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 714 $24.23
86592 <1% 42 $18.01
J7030 Infusion, normal saline solution , 1000 cc <1% 493 $17.66
J7120 Ringers lactate infusion, up to 1000 cc <1% 62 $13.20
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 225 $1.60
J2270 Injection, morphine sulfate, up to 10 mg <1% 78 $0.68
J1171 Injection, hydromorphone, 0.1 mg <1% 14 $0.31
85014 0% 28 $0.00
85049 0% 28 $0.00
99429 0% 57 $0.00
85018 0% 28 $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 officialTSAI, JAMES (PRESIDENT)
Same official

Other billing entities under TSAI, JAMES

Full network →
ProviderLocationPaid
Southland Hematology Oncology Medical Group, INCHemet, CA$2.69M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.