Children's Ophthalmology, P.C.

Children's Ophthalmology, P.C. was paid $52K by Medicaid between Jul 2018 and Aug 2020, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 60% of everything it billed.

33Billing provider infoCHILDREN'S OPHTHALMOLOGY, P.C.
HAWTHORNE, NY 10532

33aNPI1326571993assigned 04/10/2017

33bProvider typeOphthalmology Physician

28Total paid$52K

24GClaims778

24DCodes billed7

24AFirst – last monthJul 2018 – Aug 2020

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#482 of 1,085

Median peer was paid$34K

This provider vs. median1.5×

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	12	$1K
2019	329	$27K
2020	437	$24K

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	60%	256	256	$31K
92060		22%	231	225	$12K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	9.8%	71	68	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.8%	26	25	$1K
92285		2.2%	114	113	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	2.0%	12	12	$1K
92015	Determination of refractive state	<1%	68	68	$316.61

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 officialCOULEHAN, JESSICA (PROGRAM MANAGER)