Physician
Weingarten, Phyllis
Weingarten, Phyllis was paid $4.05M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoWEINGARTEN, PHYLLIS
POMONA, NY 10970
POMONA, NY 10970
33aNPI1336229350assigned 10/16/2006
33bProvider typeOphthalmology Physician
28Total paid$4.05M
24GClaims55,070
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#23 of 1,085
Median peer was paid$34K
This provider vs. median120×
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 | 3,535 | $288K | |
| 2019 | 6,623 | $498K | |
| 2020 | 7,444 | $523K | |
| 2021 | 8,596 | $608K | |
| 2022 | 10,235 | $720K | |
| 2023 | 9,642 | $681K | |
| 2024incomplete | 8,995 | $728K |
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 | 34% | 8,810 | 8,810 | $1.39M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 7,423 | 7,423 | $999K |
| 92060 | 17% | 10,015 | 10,010 | $676K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 12% | 4,934 | 4,840 | $467K |
| 92250 | 5.7% | 5,303 | 5,302 | $229K | |
| 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 | 3.9% | 840 | 840 | $158K |
| 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 | 1.4% | 411 | 410 | $56K |
| 92015 | Determination of refractive state | 1.2% | 17,085 | 17,081 | $49K |
| 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% | 249 | 240 | $24K |
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.