Estafanous, Marcus

Estafanous, Marcus was paid $41K by Medicaid between Jun 2023 and Dec 2024, across 5 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 57% of everything it billed.

33Billing provider infoESTAFANOUS, MARCUS
FARRELL, PA 16121

33aNPI1437151743assigned 06/01/2005

33bProvider typeOphthalmology Physician

28Total paid$41K

24GClaims1,154

24DCodes billed5

24AFirst – last monthJun 2023 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#79 of 288

Median peer was paid$7K

This provider vs. median5.9×

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
2023	319	$12K
2024incomplete	835	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	57%	353	296	$23K
92134		28%	536	502	$12K
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	13%	230	190	$5K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	2.1%	17	16	$874.39
J9035	Injection, bevacizumab, 10 mg	0%	18	16	$0.00

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.