Physician
Nissirios Ophthalmology PC
Nissirios Ophthalmology PC was paid $1.17M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoNISSIRIOS OPHTHALMOLOGY PC
BAYSIDE, NY 11361
BAYSIDE, NY 11361
33aNPI1346642352assigned 09/22/2014
33bProvider typeOphthalmology Physician
28Total paid$1.17M
24GClaims40,170
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#95 of 1,085
Median peer was paid$34K
This provider vs. median35×
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 | 1,740 | $60K | |
| 2019 | 2,952 | $74K | |
| 2020 | 4,327 | $136K | |
| 2021 | 8,431 | $249K | |
| 2022 | 8,688 | $254K | |
| 2023 | 8,044 | $226K | |
| 2024incomplete | 5,988 | $168K |
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 | 40% | 3,503 | 3,500 | $468K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 21% | 3,209 | 2,851 | $242K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 2,150 | 2,150 | $242K |
| 92250 | 11% | 3,371 | 3,361 | $123K | |
| 92136 | 2.5% | 747 | 739 | $29K | |
| 92015 | Determination of refractive state | 2.0% | 2,015 | 2,014 | $23K |
| 68761 | 1.5% | 153 | 86 | $17K | |
| 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% | 61 | 61 | $10K |
| 92225 | <1% | 344 | 213 | $7K | |
| 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% | 50 | 44 | $4K |
| 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% | 27 | 27 | $3K |
| 92202 | <1% | 12 | 12 | $223.80 |
11 more codes
| 76514 | <1% | 14 | $145.22 | |
| 2022F | <1% | 69 | $30.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 2,250 | $2.56 |
| 1036F | <1% | 6,062 | $2.56 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 8,889 | $2.56 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,889 | $0.00 |
| 0517F | 0% | 228 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 12 | $0.00 |
| 2024F | 0% | 41 | $0.00 | |
| 2026F | 0% | 41 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 33 | $0.00 |
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 officialNISSIRIOS, NICHOLAS (OPHTHALMOLOGIST)