Northern New Jersey Eye Institute, PA

Northern New Jersey Eye Institute, PA was paid $382K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.

33Billing provider infoNORTHERN NEW JERSEY EYE INSTITUTE, PA
SOUTH ORANGE, NJ 07079

33aNPI1457305591assigned 05/22/2006

33bProvider typeOphthalmology Physician

28Total paid$382K

24GClaims14,326

24DCodes billed14

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#37 of 213

Median peer was paid$20K

This provider vs. median19×

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	1,535	$49K
2019	1,386	$40K
2020	1,324	$35K
2021	2,175	$59K
2022	2,378	$60K
2023	3,092	$77K
2024incomplete	2,436	$61K

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	38%	4,908	4,772	$143K
92015	Determination of refractive state	34%	6,068	5,938	$131K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	14%	1,197	1,149	$52K
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	5.6%	588	580	$21K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.8%	542	512	$15K
92133		1.3%	460	448	$5K
92083		1.2%	373	357	$5K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	1.1%	13	13	$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	<1%	45	42	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	26	26	$2K
76519		<1%	40	38	$718.58
92134		<1%	40	38	$511.27

2 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$156.57
92136		<1%	13	$93.33

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 officialSPIER, BERNARD (OWNER)

Same official

Other billing entities under SPIER, BERNARD

Full network →

Provider	Location	Paid
Northern New Jersey Eye Institute PA	South Orange, NJ	$146K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.