Midwest Eye Consultants, P.C.
Midwest Eye Consultants, P.C. was paid $447K by Medicaid between Jan 2018 and Jan 2022, across 12 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 64% of everything it billed.
FORT WAYNE, IN 46804
Next to other Retina Specialist (Ophthalmology) Physician providers in Indiana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 899 | $9K | |
| 2019 | 1,617 | $173K | |
| 2020 | 1,194 | $101K | |
| 2021 | 1,464 | $161K | |
| 2022 | 80 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 64% | 267 | 228 | $287K |
| 67028 | Intravitreal injection of a pharmacologic agent | 13% | 1,259 | 1,037 | $58K |
| 92134 | 10.0% | 2,554 | 2,149 | $45K | |
| 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 | 5.3% | 468 | 400 | $24K |
| J9035 | Injection, bevacizumab, 10 mg | 4.9% | 455 | 384 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 110 | 83 | $5K |
| 67228 | <1% | 19 | 13 | $4K | |
| 92235 | <1% | 15 | 14 | $1K | |
| 92250 | <1% | 54 | 40 | $994.06 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 29 | 26 | $318.98 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 12 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 12 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $3.57M |
| Midwest Eye Consultants, P.C. | Marion, IN | $2.45M |
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $1.97M |
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $1.47M |
| Midwest Eye Consultants, P.C. | Kokomo, IN | $1.47M |
| Midwest Eye Consultants, P.C. | Logansport, IN | $1.46M |
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $1.43M |
| Midwest Eye Consultants, P.C. | Peru, IN | $1.33M |
| Midwest Eye Consultants, P.C. | Rochester, IN | $1.24M |
| Midwest Eye Consultants, P.C. | Wabash, IN | $971K |
| Midwest Eye Consultants, PC | South Bend, IN | $878K |
| Midwest Eye Consultants P.C. | Michigan City, IN | $870K |
| Midwest Eye Consultants Ohio, INC | Oregon, OH | $845K |
| Midwest Eye Consultants, P.C. | Warsaw, IN | $844K |
| Midwest Eye Consultants, P.C. | Mishawaka, IN | $816K |
| Midwest Eye Consultants, P.C. | Marion, IN | $816K |
| Midwest Eye Consultants, P.C. | Indianapolis, IN | $781K |
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $775K |
| Midwest Eye Consultants, P.C. | Kokomo, IN | $749K |
| Midwest Eye Consultants, P.C. | Noblesville, IN | $725K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.