Physician
Pediatric Ophthalmology Consultants, LLC
Pediatric Ophthalmology Consultants, LLC was paid $155K by Medicaid between Mar 2023 and May 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY CONSULTANTS, LLC
TOLEDO, OH 43617
TOLEDO, OH 43617
33aNPI1275569725assigned 06/25/2006
33bProvider typeOphthalmology Physician
28Total paid$155K
24GClaims4,621
24DCodes billed5
24AFirst – last monthMar 2023 – May 2024
Compared with peers
Next to other Ophthalmology Physician providers in Ohio
Rank by total paid#28 of 155
Median peer was paid$10K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2023 | 3,356 | $111K | |
| 2024incomplete | 1,265 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 71% | 2,817 | 2,725 | $110K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 391 | 383 | $21K |
| 92015 | Determination of refractive state | 11% | 1,119 | 1,080 | $17K |
| 92060 | 3.3% | 281 | 267 | $5K | |
| 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% | 13 | 13 | $1K |
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 officialRHEE, ROBERT (OWNER)