Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Ophthalmology & Strabismus INC

Pediatric Ophthalmology & Strabismus INC was paid $174K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 92060, — 42% of everything it billed.

33Billing provider infoPEDIATRIC OPHTHALMOLOGY & STRABISMUS INC
CRANBERRY TWP, PA 16066
33aNPI1285665356assigned 07/06/2006
33bProvider typeOptometrist
28Total paid$174K
24GClaims6,919
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#152 of 983
Median peer was paid$20K
This provider vs. median8.6×

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$5.0K$10K2018201920202021202220232024
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
2018118$2K
201996$803.36
2020321$4K
20212,078$47K
20221,797$48K
20231,332$29K
2024incomplete1,177$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92060 42% 1,941 1,889 $74K
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 22% 695 676 $39K
92015 Determination of refractive state 20% 3,540 3,463 $34K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10.0% 335 320 $17K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.4% 121 120 $6K
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 2.5% 53 53 $4K
99072 0% 234 234 $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 officialSPAVELKO, MICHAEL (OPERATIONS MANAGER)