Physician
Bloom, Robert
Bloom, Robert was paid $2.13M by Medicaid between Jan 2018 and Apr 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoBLOOM, ROBERT
DAYTON, OH 45404
DAYTON, OH 45404
33aNPI1578512893assigned 05/06/2006
33bProvider typeOphthalmology Physician
28Total paid$2.13M
24GClaims92,159
24DCodes billed20
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Ophthalmology Physician providers in Ohio
Rank by total paid#5 of 155
Median peer was paid$10K
This provider vs. median205×
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 | 37,219 | $772K | |
| 2019 | 40,774 | $908K | |
| 2020 | 10,922 | $350K | |
| 2021 | 1,482 | $50K | |
| 2022 | 1,128 | $36K | |
| 2023 | 621 | $19K | |
| 2024incomplete | 13 | $260.91 |
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 | 25% | 12,956 | 12,092 | $536K |
| 92015 | Determination of refractive state | 15% | 16,288 | 15,598 | $329K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 5,630 | 5,402 | $295K |
| 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 | 8.6% | 2,360 | 2,247 | $183K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.9% | 8,997 | 7,296 | $148K |
| 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 | 6.4% | 2,295 | 2,118 | $137K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.1% | 11,878 | 4,506 | $130K |
| V2020 | Frames, purchases | 5.1% | 7,631 | 6,156 | $109K |
| 92060 | 3.7% | 4,240 | 4,047 | $80K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1.9% | 3,870 | 1,729 | $41K |
| 67311 | 1.8% | 137 | 73 | $39K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.7% | 7,430 | 3,367 | $36K |
8 more codes
| 92083 | 1.2% | 1,082 | $26K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 5,382 | $26K |
| 92133 | <1% | 974 | $14K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 513 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | $1K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 225 | $1K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 148 | $747.43 |
| 50580 | 0% | 93 | $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.