Physician
Pediatric Ophthalmology, PC
Pediatric Ophthalmology, PC was paid $2.52M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY, PC
TULSA, OK 74136
TULSA, OK 74136
33aNPI1447244827assigned 08/31/2005
28Total paid$2.52M
24GClaims42,419
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
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 | 2,785 | $162K | |
| 2019 | 4,258 | $254K | |
| 2020 | 5,386 | $339K | |
| 2021 | 6,721 | $410K | |
| 2022 | 7,641 | $466K | |
| 2023 | 10,250 | $603K | |
| 2024incomplete | 5,378 | $288K |
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 | 52% | 12,529 | 12,529 | $1.32M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 3,602 | 3,602 | $454K |
| 92015 | Determination of refractive state | 15% | 21,423 | 21,416 | $377K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 12% | 3,885 | 3,826 | $293K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 736 | 713 | $55K |
| 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 | <1% | 230 | 227 | $23K |
| 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 | <1% | 14 | 14 | $2K |
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 officialDENSLOW, GARY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Ophthalmology, PC | Tulsa, OK | $2.89M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.