Supplier
Alabama Ophthalmology Associates, P.C.
Alabama Ophthalmology Associates, P.C. was paid $2.06M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 24% of everything it billed.
33Billing provider infoALABAMA OPHTHALMOLOGY ASSOCIATES, P.C.
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
33aNPI1366484941assigned 06/11/2006
33bProvider typeEyewear Supplier
28Total paid$2.06M
24GClaims61,331
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Alabama
Rank by total paid#2 of 38
Median peer was paid$58K
This provider vs. median36×
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 | 7,323 | $229K | |
| 2019 | 8,306 | $268K | |
| 2020 | 9,934 | $288K | |
| 2021 | 10,380 | $337K | |
| 2022 | 9,704 | $322K | |
| 2023 | 9,662 | $375K | |
| 2024incomplete | 6,022 | $242K |
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 | 24% | 9,031 | 7,851 | $491K |
| 92060 | 16% | 10,466 | 9,149 | $330K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 7,790 | 6,636 | $296K |
| 99243 | 14% | 4,330 | 3,647 | $291K | |
| 92015 | Determination of refractive state | 6.5% | 19,269 | 16,568 | $133K |
| 67311 | 6.3% | 536 | 273 | $130K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.0% | 1,758 | 1,483 | $123K |
| 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 | 3.3% | 1,283 | 1,077 | $69K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 844 | 491 | $45K |
| 92201 | 1.9% | 2,380 | 1,436 | $40K | |
| 99242 | 1.3% | 506 | 442 | $27K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 178 | 162 | $18K |
10 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 238 | $15K |
| 92226 | <1% | 1,000 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 479 | $12K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 428 | $11K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 586 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 32 | $3K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 76 | $3K |
| 99253 | <1% | 28 | $2K | |
| 92285 | <1% | 73 | $1K | |
| 92202 | <1% | 20 | $288.00 |
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 officialELSAS, FREDERICK (PRESIDENT)