Delaware Ophthalmology Consultants PA
Delaware Ophthalmology Consultants PA was paid $350K by Medicaid between Apr 2018 and Oct 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoDELAWARE OPHTHALMOLOGY CONSULTANTS PA
WILMINGTON, DE 19810
WILMINGTON, DE 19810
33aNPI1467496638assigned 06/16/2006
33bProvider typeOptometrist
28Total paid$350K
24GClaims8,632
24DCodes billed15
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Delaware
Rank by total paid#12 of 61
Median peer was paid$31K
This provider vs. median11×
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 | 246 | $3K | |
| 2019 | 2,050 | $56K | |
| 2020 | 1,125 | $46K | |
| 2021 | 1,172 | $54K | |
| 2022 | 1,749 | $84K | |
| 2023 | 1,527 | $77K | |
| 2024incomplete | 763 | $32K |
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% | 2,934 | 2,672 | $133K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 25% | 2,345 | 2,064 | $88K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 954 | 904 | $50K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.5% | 276 | 276 | $16K |
| 92134 | 4.4% | 753 | 664 | $15K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.9% | 238 | 227 | $14K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 3.5% | 213 | 194 | $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 | 2.6% | 157 | 144 | $9K |
| V2020 | Frames, purchases | 1.1% | 334 | 334 | $4K |
| 92015 | Determination of refractive state | <1% | 260 | 232 | $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 | <1% | 40 | 39 | $2K |
| 92133 | <1% | 64 | 56 | $2K |
3 more codes
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 officialKELLNER, STEPHEN (PRACTICE ADMINISTRATOR)