James F Twist MD PC

James F Twist MD PC was paid $233K by Medicaid between Mar 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.

33Billing provider infoJAMES F TWIST MD PC
KENMORE, NY 14223

33aNPI1386661114assigned 07/17/2006

33bProvider typeOphthalmology Physician

28Total paid$233K

24GClaims3,314

24DCodes billed7

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#268 of 1,085

Median peer was paid$34K

This provider vs. median6.9×

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	88	$5K
2019	113	$6K
2020	439	$26K
2021	581	$38K
2022	698	$50K
2023	885	$69K
2024incomplete	510	$39K

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	37%	982	980	$86K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	978	858	$65K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	22%	960	824	$50K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	11%	222	222	$25K
92083		1.8%	79	79	$4K
92133		1.0%	78	78	$2K
92136		<1%	15	12	$335.27

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 officialTWIST, MAUREEN (CEO)