Pediatric Ophthalmology & Strabismus Associates INC
Pediatric Ophthalmology & Strabismus Associates INC was paid $4.96M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is V2020, Frames, purchases — 16% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES INC
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1578678777assigned 08/20/2006
33bProvider typeSpecialist
28Total paid$4.96M
24GClaims113,683
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Rhode Island
Rank by total paid#1 of 46
Median peer was paid$29K
This provider vs. median174×
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 | 16,238 | $707K | |
| 2019 | 14,509 | $595K | |
| 2020 | 10,926 | $436K | |
| 2021 | 13,803 | $561K | |
| 2022 | 16,503 | $751K | |
| 2023 | 20,564 | $944K | |
| 2024incomplete | 21,140 | $970K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 16% | 14,363 | 13,658 | $811K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14% | 24,737 | 11,943 | $711K |
| 92060 | 14% | 12,582 | 11,372 | $686K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 6,024 | 5,540 | $628K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 10% | 6,959 | 6,091 | $502K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.7% | 3,877 | 3,532 | $481K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.3% | 15,245 | 14,424 | $314K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.3% | 11,260 | 6,843 | $312K |
| 92015 | Determination of refractive state | 3.3% | 7,596 | 6,691 | $165K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.7% | 4,442 | 2,860 | $135K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.4% | 3,849 | 2,575 | $121K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 1.6% | 2,202 | 1,477 | $78K |
9 more codes
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 203 | $8K |
| 92201 | <1% | 216 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 24 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12 | $1K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 34 | $1K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 19 | $665.87 |
| 92226 | <1% | 14 | $289.80 |
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 officialALVES, TANYA (PRACTICE MANAGER)