DR Stephen a Figler & Assoc INC.
DR Stephen a Figler & Assoc INC. was paid $857K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.
33Billing provider infoDR STEPHEN A FIGLER & ASSOC INC.
CLEVELAND, OH 44105
CLEVELAND, OH 44105
33aNPI1356500508assigned 06/03/2008
33bProvider typeOptometrist
28Total paid$857K
24GClaims63,162
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#28 of 1,098
Median peer was paid$41K
This provider vs. median21×
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 | 10,233 | $173K | |
| 2019 | 12,083 | $192K | |
| 2020 | 3,459 | $47K | |
| 2021 | 8,980 | $99K | |
| 2022 | 10,119 | $111K | |
| 2023 | 8,305 | $107K | |
| 2024incomplete | 9,983 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 4,764 | 4,527 | $187K |
| 92250 | 17% | 7,134 | 6,871 | $148K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 6,734 | 6,489 | $137K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 3,213 | 3,086 | $135K |
| 92341 | 8.1% | 3,076 | 2,915 | $69K | |
| V2020 | Frames, purchases | 7.5% | 5,616 | 5,344 | $65K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.3% | 1,523 | 1,397 | $28K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.0% | 468 | 452 | $17K |
| 92015 | Determination of refractive state | 2.0% | 3,239 | 3,042 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 389 | 369 | $15K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.7% | 205 | 193 | $15K |
| 92083 | 1.3% | 455 | 431 | $11K |
21 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 213 | $5K |
| 92133 | <1% | 234 | $3K | |
| 92310 | <1% | 47 | $3K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 19 | $726.30 |
| 76514 | <1% | 75 | $556.42 | |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 13 | $484.00 |
| V2780 | Oversize lens, per lens | <1% | 15 | $270.00 |
| 2026F | <1% | 1,180 | $1.00 | |
| 2022F | <1% | 361 | $1.00 | |
| G2104 | Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed | <1% | 31 | $0.76 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | <1% | 1,061 | $0.56 |
| G8785 | Blood pressure reading not documented, reason not given | <1% | 2,067 | $0.56 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 3,800 | $0.00 |
| 1036F | 0% | 8,022 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 7,020 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 358 | $0.00 |
| 3072F | 0% | 54 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 1,343 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 36 | $0.00 |
| 5010F | 0% | 341 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 56 | $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 officialFIGLER, STEPHEN (PRESIDENT)
Parent organizationDR STEPHEN A FIGLER & ASSOC INC.