Specialized Pediatric Eye Care, INC

Specialized Pediatric Eye Care, INC was paid $92K by Medicaid between Apr 2018 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.

33Billing provider infoSPECIALIZED PEDIATRIC EYE CARE, INC
BEVERLY, MA 01915

33aNPI1457733917assigned 06/22/2015

33bProvider typeOphthalmology Physician

28Total paid$92K

24GClaims1,859

24DCodes billed6

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#60 of 203

Median peer was paid$18K

This provider vs. median5.2×

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	67	$3K
2019	203	$11K
2020	62	$3K
2021	264	$10K
2022	285	$11K
2023	647	$34K
2024incomplete	331	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	43%	399	398	$39K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	35%	436	434	$32K
92015	Determination of refractive state	9.9%	716	715	$9K
92060		7.5%	236	141	$7K
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	2.6%	29	28	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	43	43	$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 officialLEDOUX, DANIELLE (PRESIDENT)

Same official

Other billing entities under LEDOUX, DANIELLE

Full network →

Provider	Location	Paid
Spec, LLC	Beverly, MA	$19K

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