Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Worcester › NPI 1518158716
Physician

Medical Eye Care Services PC

Medical Eye Care Services PC was paid $1.93M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 51% of everything it billed.

33Billing provider infoMEDICAL EYE CARE SERVICES PC
WORCESTER, MA 01605
33aNPI1518158716assigned 08/05/2007
33bProvider typeOphthalmology Physician
28Total paid$1.93M
24GClaims55,240
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#8 of 203
Median peer was paid$18K
This provider vs. median108×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20187,966$251K
20199,689$319K
20206,805$247K
20216,825$248K
202210,273$341K
20239,260$310K
2024incomplete4,422$213K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 51% 14,295 14,237 $988K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 2,961 2,952 $279K
92015 Determination of refractive state 9.7% 12,030 11,975 $186K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 7.6% 798 797 $147K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.6% 3,145 3,106 $88K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4.4% 1,632 1,589 $84K
92083 1.8% 1,453 1,115 $35K
92133 1.6% 2,033 1,560 $32K
92134 1.6% 1,829 1,499 $31K
92136 1.5% 1,715 1,087 $29K
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 <1% 373 363 $12K
92250 <1% 494 483 $11K
17 more codes
99204 Doctor's office visit, new patient (more involved) <1% 68 $5K
92081 <1% 132 $2K
76514 <1% 20 $70.34
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 4,120 $0.00
5010F 0% 292 $0.00
4040F 0% 1,012 $0.00
2022F 0% 1,062 $0.00
G9990 Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 0% 795 $0.00
G8482 Influenza immunization administered or previously received 0% 1,156 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 0% 166 $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% 427 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 0% 818 $0.00
2027F 0% 103 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 86 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 13 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 2,184 $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% 28 $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 officialMELTZER, JEREMY (PRESEDENT)