Biro, Nicolas

Biro, Nicolas was paid $15K by Medicaid between Feb 2018 and Apr 2021, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 47% of everything it billed.

33Billing provider infoBIRO, NICOLAS
WEST COVINA, CA 91790

33aNPI1497959332assigned 06/13/2007

33bProvider typeOphthalmology Physician

28Total paid$15K

24GClaims600

24DCodes billed7

24AFirst – last monthFeb 2018 – Apr 2021

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#463 of 759

Median peer was paid$35K

This provider vs. median0.4×

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	233	$6K
2019	254	$6K
2020	100	$2K
2021	13	$579.67

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	47%	344	330	$7K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	29%	154	151	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	15%	48	48	$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	3.9%	13	13	$579.67
92083		2.1%	12	12	$316.12
92225		1.2%	17	12	$184.71
92133		<1%	12	12	$125.33

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.