Physician
Advanced Ophthalmology of Michiana LLC
Advanced Ophthalmology of Michiana LLC was paid $901K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoADVANCED OPHTHALMOLOGY OF MICHIANA LLC
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
33aNPI1548304876assigned 02/19/2007
33bProvider typeOphthalmology Physician
28Total paid$901K
24GClaims29,944
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Indiana
Rank by total paid#9 of 107
Median peer was paid$43K
This provider vs. median21×
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 | 4,035 | $95K | |
| 2019 | 4,097 | $138K | |
| 2020 | 3,197 | $94K | |
| 2021 | 4,895 | $135K | |
| 2022 | 5,139 | $156K | |
| 2023 | 4,970 | $152K | |
| 2024incomplete | 3,611 | $131K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 5,469 | 4,674 | $298K |
| 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 | 20% | 2,559 | 2,280 | $181K |
| 92015 | Determination of refractive state | 15% | 14,799 | 11,101 | $139K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 1,783 | 1,640 | $121K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.3% | 2,506 | 1,896 | $75K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.2% | 363 | 331 | $19K |
| 92083 | 1.9% | 638 | 525 | $17K | |
| 92133 | 1.5% | 724 | 570 | $14K | |
| 92134 | 1.4% | 798 | 605 | $13K | |
| 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 | 1.3% | 94 | 92 | $11K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 1.1% | 37 | 28 | $10K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 121 | 67 | $2K |
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 officialYOON, ERIC (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Urgent Care of West Jefferson | West Jefferson, OH | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.