Baltimore Ophthalmology, LLC

Baltimore Ophthalmology, LLC was paid $412K by Medicaid between Jul 2018 and Nov 2024, across 24 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 46% of everything it billed.

33Billing provider infoBALTIMORE OPHTHALMOLOGY, LLC
BALTIMORE, MD 21215

33aNPI1528569233assigned 02/27/2018

33bProvider typeOphthalmology Physician

28Total paid$412K

24GClaims9,017

24DCodes billed24

24AFirst – last monthJul 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Maryland

Rank by total paid#17 of 124

Median peer was paid$19K

This provider vs. median22×

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	593	$4K
2019	784	$3K
2020	1,569	$77K
2021	1,598	$85K
2022	669	$44K
2023	2,956	$158K
2024incomplete	848	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	46%	1,304	1,185	$191K
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	17%	676	632	$72K
92083		10%	935	857	$42K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.8%	473	441	$32K
92015	Determination of refractive state	4.6%	1,189	1,105	$19K
92250		4.5%	542	498	$19K
92133		4.0%	559	510	$17K
92020		1.8%	440	404	$8K
76514		1.6%	642	583	$6K
92060		<1%	87	80	$4K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	816	780	$1K
G9744	Patient not eligible due to active diagnosis of hypertension	<1%	447	425	$561.88

12 more codes

92285		<1%	30	$545.81
92132		<1%	21	$369.48
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	267	$321.22
G9974	Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity	<1%	12	$311.12
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	<1%	110	$124.91
1036F		<1%	338	$56.91
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	24	$30.46
3284F		0%	12	$0.00
G8398	Dilated macular or fundus exam not performed	0%	31	$0.00
0517F		0%	38	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	12	$0.00
G8785	Blood pressure reading not documented, reason not given	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 officialHAHN, RYAN (MEDICAL DIRECTOR)