Physician
Northeast Ophthalmology P C
Northeast Ophthalmology P C was paid $989K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.
33Billing provider infoNORTHEAST OPHTHALMOLOGY P C
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
33aNPI1265418719assigned 12/16/2005
33bProvider typeOphthalmology Physician
28Total paid$989K
24GClaims28,658
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Indiana
Rank by total paid#8 of 107
Median peer was paid$43K
This provider vs. median23×
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 | 4,516 | $126K | |
| 2019 | 4,088 | $156K | |
| 2020 | 3,349 | $135K | |
| 2021 | 4,883 | $174K | |
| 2022 | 4,012 | $132K | |
| 2023 | 4,350 | $142K | |
| 2024incomplete | 3,460 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36% | 5,768 | 5,178 | $360K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26% | 3,064 | 2,764 | $256K |
| 92015 | Determination of refractive state | 15% | 13,571 | 11,679 | $152K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 1,779 | 1,551 | $88K |
| V2020 | Frames, purchases | 6.4% | 2,915 | 2,714 | $64K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.3% | 565 | 495 | $23K |
| 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 | 1.5% | 280 | 232 | $14K |
| 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 | 1.2% | 129 | 110 | $12K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 140 | 115 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 51 | 47 | $5K |
| 92250 | <1% | 210 | 184 | $4K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 31 | 28 | $2K |
4 more codes
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 officialSCHROEDER, BARBARA (MD/PRACTITIONER)