Physician
Pilavas, John
Pilavas, John was paid $350K by Medicaid between Mar 2018 and Nov 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoPILAVAS, JOHN
ASTORIA, NY 11106
ASTORIA, NY 11106
33aNPI1275851230assigned 05/13/2010
33bProvider typeOphthalmology Physician
28Total paid$350K
24GClaims12,973
24DCodes billed16
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#211 of 1,085
Median peer was paid$34K
This provider vs. median10×
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 | 143 | $5K | |
| 2019 | 1,028 | $33K | |
| 2020 | 1,488 | $43K | |
| 2021 | 2,638 | $61K | |
| 2022 | 2,393 | $70K | |
| 2023 | 2,826 | $77K | |
| 2024incomplete | 2,457 | $61K |
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 | 28% | 1,406 | 1,394 | $98K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 23% | 2,214 | 1,927 | $82K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 1,423 | 1,406 | $69K |
| 92201 | 8.3% | 2,637 | 2,590 | $29K | |
| 83861 | 7.0% | 1,621 | 1,040 | $25K | |
| 92025 | 4.5% | 862 | 834 | $16K | |
| 92225 | 2.4% | 444 | 318 | $8K | |
| 92015 | Determination of refractive state | 2.2% | 1,052 | 1,047 | $8K |
| 68761 | 1.7% | 95 | 49 | $6K | |
| 76512 | 1.2% | 192 | 134 | $4K | |
| 92134 | <1% | 229 | 224 | $3K | |
| 92285 | <1% | 71 | 69 | $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.