Plastic and Reconstructive Eye Surgery PC

Plastic and Reconstructive Eye Surgery PC was paid $16K by Medicaid between Jan 2018 and Feb 2024, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 68% of everything it billed.

33Billing provider infoPLASTIC AND RECONSTRUCTIVE EYE SURGERY PC
GRAND RAPIDS, MI 49525

33aNPI1417998337assigned 06/10/2006

33bProvider typeOphthalmology Physician

28Total paid$16K

24GClaims596

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Ophthalmology Physician providers in Michigan

Rank by total paid#69 of 106

Median peer was paid$51K

This provider vs. median0.3×

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	47	$2K
2019	40	$2K
2020	39	$2K
2021	153	$5K
2022	198	$3K
2023	102	$1K
2024incomplete	17	$205.96

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	68%	208	207	$11K
92285		26%	376	376	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.6%	12	12	$876.51

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 officialMELDRUM, MELISSA (OWNER PRESIDENT)