Martinsburg Eye Associates PLLC

Martinsburg Eye Associates PLLC was paid $158K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.

33Billing provider infoMARTINSBURG EYE ASSOCIATES PLLC
MARTINSBURG, WV 25401

33aNPI1467538967assigned 10/27/2006

33bProvider typeOphthalmology Physician

28Total paid$158K

24GClaims4,500

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in West Virginia

Rank by total paid#10 of 27

Median peer was paid$73K

This provider vs. median2.2×

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	1,281	$56K
2019	630	$21K
2020	833	$25K
2021	742	$20K
2022	597	$18K
2023	274	$13K
2024incomplete	143	$4K

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	26%	971	929	$42K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	17%	324	302	$26K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	17%	1,149	1,062	$26K
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	14%	310	298	$22K
92015	Determination of refractive state	10.0%	1,249	1,191	$16K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.4%	180	175	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.7%	152	139	$9K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.9%	137	121	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	13	13	$643.44
92134		<1%	15	12	$414.75

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 officialHOUSEHOLDER, KATHLEEN (OFFICE MANAGER)