Middlesex Eye Physicians, P.C.
Middlesex Eye Physicians, P.C. was paid $372K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92015, Determination of refractive state — 41% of everything it billed.
33Billing provider infoMIDDLESEX EYE PHYSICIANS, P.C.
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1295716413assigned 11/07/2005
33bProvider typeOptometrist
28Total paid$372K
24GClaims16,906
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#108 of 340
Median peer was paid$125K
This provider vs. median3.0×
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 | 2,449 | $57K | |
| 2019 | 3,822 | $89K | |
| 2020 | 1,478 | $35K | |
| 2021 | 2,352 | $55K | |
| 2022 | 2,069 | $45K | |
| 2023 | 2,447 | $41K | |
| 2024incomplete | 2,289 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 41% | 7,961 | 5,435 | $152K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 4,690 | 3,798 | $90K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 941 | 810 | $40K |
| V2020 | Frames, purchases | 6.9% | 906 | 875 | $26K |
| 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 | 6.0% | 655 | 554 | $22K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 4.3% | 579 | 557 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.6% | 474 | 453 | $10K |
| 92250 | 1.4% | 284 | 211 | $5K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 119 | 110 | $3K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 21 | 12 | $2K |
| 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% | 49 | 40 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 95 | 64 | $1K |
5 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 42 | $827.32 |
| 92341 | <1% | 32 | $661.77 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | $399.20 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 26 | $397.50 |
| 92083 | <1% | 19 | $222.25 |
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 officialLUSKIND, ROGER (PRESIDENT)