Joseph S. Elman, M.D., P.C.

Joseph S. Elman, M.D., P.C. was paid $63K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 57% of everything it billed.

33Billing provider infoJOSEPH S. ELMAN, M.D., P.C.
NORTH HAVEN, CT 06473

33aNPI1285726042assigned 09/29/2006

33bProvider typeOphthalmology Physician

28Total paid$63K

24GClaims2,438

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Connecticut

Rank by total paid#33 of 97

Median peer was paid$13K

This provider vs. median4.6×

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

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	439	$13K
2019	747	$17K
2020	281	$7K
2021	343	$9K
2022	248	$7K
2023	221	$6K
2024incomplete	159	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	57%	1,176	968	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	678	629	$13K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	19%	530	501	$12K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.6%	29	27	$2K
92083		<1%	12	12	$334.95
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	13	12	$39.75

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 officialELMAN, JOSEPH (PRESIDENT)