Eye Disease Consultants, LLC

Eye Disease Consultants, LLC was paid $444K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

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	4,988	$42K
2019	5,070	$41K
2020	4,188	$53K
2021	4,640	$51K
2022	5,175	$69K
2023	7,307	$95K
2024incomplete	4,315	$93K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	57%	8,014	5,954	$252K
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	15%	1,232	951	$67K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.8%	1,071	848	$34K
92134		7.7%	2,674	2,027	$34K
92250		5.0%	846	636	$22K
67028	Intravitreal injection of a pharmacologic agent	3.1%	310	162	$14K
92020		1.4%	778	591	$6K
92015	Determination of refractive state	1.3%	244	185	$6K
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%	222	155	$3K
J9035	Injection, bevacizumab, 10 mg	<1%	206	128	$2K
92226		<1%	236	123	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	44	41	$1K

19 more codes

92083		<1%	13	$430.65
76519		<1%	45	$369.76
67515		<1%	14	$322.02
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	14	$38.07
1036F		<1%	7,786	$0.01
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	9,076	$0.01
3017F		0%	173	$0.00
1111F		0%	553	$0.00
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	0%	874	$0.00
G8756	No documentation of blood pressure measurement, reason not given	0%	134	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	128	$0.00
3284F		0%	16	$0.00
5010F		0%	253	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	128	$0.00
4004F		0%	292	$0.00
2022F		0%	65	$0.00
G9900	Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified	0%	148	$0.00
2027F		0%	41	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	53	$0.00

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 officialGAUDIO, PAUL (MANAGING PARTNER)