Physician
Opticare Eye Health Centers, INC.
Opticare Eye Health Centers, INC. was paid $2.22M by Medicaid between Jan 2018 and May 2021, across 31 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 29% of everything it billed.
33Billing provider infoOPTICARE EYE HEALTH CENTERS, INC.
WATERBURY, CT 06708
WATERBURY, CT 06708
33aNPI1497705677assigned 05/11/2006
33bProvider typeOphthalmology Physician
28Total paid$2.22M
24GClaims59,230
24DCodes billed31
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Ophthalmology Physician providers in Connecticut
Rank by total paid#5 of 97
Median peer was paid$13K
This provider vs. median165×
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 | 21,097 | $758K | |
| 2019 | 21,990 | $714K | |
| 2020 | 14,382 | $654K | |
| 2021 | 1,761 | $95K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 29% | 1,426 | 676 | $640K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 9,977 | 8,838 | $332K |
| 92015 | Determination of refractive state | 14% | 9,285 | 8,148 | $320K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.6% | 3,644 | 3,258 | $213K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 9.5% | 9,516 | 8,076 | $210K |
| 67028 | Intravitreal injection of a pharmacologic agent | 6.9% | 3,957 | 2,294 | $152K |
| 92134 | 3.5% | 8,160 | 5,684 | $78K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.8% | 375 | 300 | $62K |
| 92083 | 2.3% | 2,477 | 1,809 | $51K | |
| J9035 | Injection, bevacizumab, 10 mg | 2.0% | 2,347 | 1,479 | $45K |
| 92133 | 1.2% | 2,333 | 1,711 | $27K | |
| 92250 | <1% | 977 | 617 | $18K |
19 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 152 | $18K |
| 92136 | <1% | 1,144 | $13K | |
| 92285 | <1% | 976 | $10K | |
| 83861 | <1% | 794 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 283 | $4K |
| 92235 | <1% | 105 | $3K | |
| 92002 | <1% | 84 | $3K | |
| 92020 | <1% | 301 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 120 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 32 | $1K |
| 92226 | <1% | 115 | $1K | |
| 92025 | <1% | 92 | $884.45 | |
| 92202 | <1% | 178 | $765.38 | |
| 92283 | <1% | 73 | $702.77 | |
| 92225 | <1% | 55 | $624.30 | |
| 92201 | <1% | 70 | $522.83 | |
| 76514 | <1% | 156 | $459.54 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | $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 officialNOLL, NANCY (EXEC VICE PRES)
| Provider | Location | Paid |
|---|---|---|
| Opticare Eye Health Centers, INC. | Waterbury, CT | $437K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.