Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Northeastern Eye Institute

Northeastern Eye Institute was paid $217K by Medicaid between Jan 2018 and Aug 2021, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 44% of everything it billed.

33Billing provider infoNORTHEASTERN EYE INSTITUTE
SCRANTON, PA 18503
33aNPI1366554172assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$217K
24GClaims12,874
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#118 of 983
Median peer was paid$20K
This provider vs. median11×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018303$2K
2019416$2K
20202,098$33K
202110,057$180K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 44% 3,676 3,592 $96K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28% 1,509 1,489 $60K
92015 Determination of refractive state 13% 6,812 6,555 $29K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 8.0% 310 307 $17K
92002 6.5% 513 501 $14K
S0621 Routine ophthalmological examination including refraction; established patient <1% 13 13 $520.00
99308 Subsequent nursing facility care, per day, straightforward <1% 15 15 $73.30
99307 <1% 26 26 $46.58

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 officialJORDON, ARTHUR (MEMBER BOARD OF DIRECTORS)