Ophthalmology Associates 010196

Ophthalmology Associates 010196 was paid $101K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 36% of everything it billed.

33Billing provider infoOPHTHALMOLOGY ASSOCIATES 010196
ABERDEEN, SD 57401

33aNPI1306900634assigned 12/21/2006

33bProvider typeOphthalmology Physician

28Total paid$101K

24GClaims5,630

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in South Dakota

Rank by total paid#2 of 6

Median peer was paid$2K

This provider vs. median46×

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	1,074	$24K
2019	1,020	$21K
2020	605	$8K
2021	827	$11K
2022	1,012	$16K
2023	644	$12K
2024incomplete	448	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	36%	1,890	1,595	$37K
67028	Intravitreal injection of a pharmacologic agent	29%	1,195	971	$30K
92134		17%	1,863	1,591	$17K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.5%	209	192	$8K
J9035	Injection, bevacizumab, 10 mg	6.7%	313	194	$7K
J7999	Compounded drug, not otherwise classified	1.6%	100	83	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	16	13	$749.20
92136		<1%	44	42	$711.73

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 officialKNOLL, MELISSA (ADMINISTRATOR)