Ophthalmology INC
Ophthalmology INC was paid $480K by Medicaid between Jan 2018 and Aug 2023, across 18 billing codes. Its largest line is 92134, — 37% of everything it billed.
33Billing provider infoOPHTHALMOLOGY INC
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
33aNPI1366429102assigned 12/22/2005
33bProvider typeOptometrist
28Total paid$480K
24GClaims12,695
24DCodes billed18
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#19 of 209
Median peer was paid$24K
This provider vs. median20×
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 | 3,287 | $84K | |
| 2019 | 4,149 | $111K | |
| 2020 | 1,573 | $57K | |
| 2021 | 1,751 | $113K | |
| 2022 | 1,185 | $64K | |
| 2023 | 750 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92134 | 37% | 3,738 | 3,198 | $175K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 19% | 468 | 359 | $90K |
| J0178 | Injection, aflibercept, 1 mg | 14% | 93 | 77 | $68K |
| 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 | 11% | 2,436 | 1,951 | $54K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.9% | 2,866 | 2,505 | $47K |
| 92015 | Determination of refractive state | 3.5% | 943 | 900 | $17K |
| V2020 | Frames, purchases | 1.4% | 393 | 378 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.3% | 348 | 335 | $6K |
| 92133 | <1% | 362 | 319 | $3K | |
| 92136 | <1% | 332 | 190 | $3K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 157 | 156 | $3K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 188 | 106 | $2K |
6 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 216 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 66 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 23 | $586.50 |
| 92025 | <1% | 12 | $220.00 | |
| 92285 | <1% | 12 | $208.45 | |
| 92083 | <1% | 42 | $34.20 |
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 officialDUELL, GAIL (ACCOUNTS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Ophthalmology INC | Providence, RI | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.