Clinic
Wilson Ko, M.D., F.A.C.S., P.C.
Wilson Ko, M.D., F.A.C.S., P.C. was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 32% of everything it billed.
33Billing provider infoWILSON KO, M.D., F.A.C.S., P.C.
FLUSHING, NY 11355
FLUSHING, NY 11355
33aNPI1437365665assigned 05/15/2007
33bProvider typeOphthalmologic Surgery Clinic/Center
28Total paid$1.30M
24GClaims19,785
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmologic Surgery Clinic/Center providers in New York
Rank by total paid#5 of 14
Median peer was paid$261K
This provider vs. median5.0×
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 | 2,747 | $106K | |
| 2019 | 3,989 | $214K | |
| 2020 | 377 | $34K | |
| 2021 | 1,941 | $161K | |
| 2022 | 2,576 | $216K | |
| 2023 | 4,150 | $287K | |
| 2024incomplete | 4,005 | $282K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 32% | 5,087 | 4,619 | $417K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 2,044 | 2,041 | $298K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 2,531 | 2,526 | $292K |
| 92250 | 11% | 3,636 | 3,627 | $142K | |
| 92134 | 2.3% | 868 | 862 | $29K | |
| 92226 | 1.9% | 910 | 570 | $25K | |
| 92083 | 1.9% | 417 | 413 | $25K | |
| 92002 | 1.3% | 217 | 216 | $18K | |
| 92225 | 1.3% | 610 | 357 | $16K | |
| 92133 | <1% | 342 | 340 | $11K | |
| 92020 | <1% | 385 | 375 | $10K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 14 | 14 | $8K |
11 more codes
| 92202 | <1% | 172 | $3K | |
| 92136 | <1% | 89 | $2K | |
| 92015 | Determination of refractive state | <1% | 164 | $2K |
| 76514 | <1% | 116 | $953.37 | |
| 92286 | <1% | 13 | $402.04 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 206 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 481 | $0.00 |
| 99072 | 0% | 65 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 147 | $0.00 |
| 1036F | 0% | 593 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 678 | $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.
From NPPES
Who's on the registration
Authorized officialKO, WILSON (OWNER)