Capital Eye Care Physicians and Surgeons, PLLC

Capital Eye Care Physicians and Surgeons, PLLC was paid $70K by Medicaid between Feb 2018 and Oct 2023, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 61% of everything it billed.

33Billing provider infoCAPITAL EYE CARE PHYSICIANS AND SURGEONS, PLLC
TROY, NY 12180

33aNPI1477589901assigned 06/25/2006

33bProvider typeOphthalmology Physician

28Total paid$70K

24GClaims982

24DCodes billed6

24AFirst – last monthFeb 2018 – Oct 2023

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#439 of 1,085

Median peer was paid$34K

This provider vs. median2.1×

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	58	$5K
2019	180	$12K
2020	169	$13K
2021	152	$11K
2022	308	$20K
2023	115	$8K

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	61%	496	493	$42K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	21%	234	197	$15K
92083		11%	162	162	$8K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.5%	40	40	$5K
92250		<1%	12	12	$454.37
92015	Determination of refractive state	<1%	38	38	$9.93

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 officialKAMATH, SURESH (MD/OWNER)