Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Eye Care for the Adirondacks Associates in Ophthalmology PC

Eye Care for the Adirondacks Associates in Ophthalmology PC was paid $3.32M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 43% of everything it billed.

33Billing provider infoEYE CARE FOR THE ADIRONDACKS ASSOCIATES IN OPHTHALMOLOGY PC
PLATTSBURGH, NY 12901
33aNPI1518956515assigned 10/21/2005
33bProvider typeOphthalmology Physician
28Total paid$3.32M
24GClaims97,395
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#35 of 1,085
Median peer was paid$34K
This provider vs. median98×

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$50K$100K2018201920202021202220232024
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
2018343$28K
20198,470$153K
202013,896$270K
202116,962$571K
202219,344$820K
202323,075$916K
2024incomplete15,305$562K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 43% 817 757 $1.43M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 9,051 9,007 $376K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 7.9% 13,252 6,473 $264K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6.3% 4,991 4,972 $210K
V2020 Frames, purchases 5.6% 15,772 15,258 $186K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.3% 3,875 3,769 $175K
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 4.7% 1,749 1,734 $155K
67028 Intravitreal injection of a pharmacologic agent 4.3% 1,541 1,399 $141K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.6% 4,317 2,139 $85K
92250 1.8% 1,803 1,770 $60K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.4% 1,710 857 $46K
92134 1.0% 1,295 1,266 $34K
16 more codes
99203 Doctor's office visit, new patient (routine) <1% 606 $33K
92083 <1% 672 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 666 $24K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 647 $13K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 32,827 $11K
99204 Doctor's office visit, new patient (more involved) <1% 78 $10K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 19 $9K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 411 $8K
J9035 Injection, bevacizumab, 10 mg <1% 90 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 80 $5K
68761 <1% 27 $3K
92133 <1% 94 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 62 $2K
92015 Determination of refractive state <1% 842 $765.84
2022F 0% 77 $0.00
V2745 Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens 0% 24 $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 officialAROGYASAMI, ROY (PRESIDENT / OWNER)