Niles, Philip

Niles, Philip was paid $21K by Medicaid between Aug 2019 and Oct 2024, across 5 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 43% of everything it billed.

33Billing provider infoNILES, PHILIP
WILLIAMSVILLE, NY 14221

33aNPI1609136126assigned 05/17/2012

33bProvider typeRetina Specialist (Ophthalmology) Physician

28Total paid$21K

24GClaims1,110

24DCodes billed5

24AFirst – last monthAug 2019 – Oct 2024

Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in New York

Rank by total paid#36 of 60

Median peer was paid$52K

This provider vs. median0.4×

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
2019	28	$148.64
2020	74	$2K
2021	91	$1K
2022	82	$997.33
2023	135	$2K
2024incomplete	700	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	43%	283	266	$9K
92134		19%	322	303	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	18%	251	241	$4K
J9035	Injection, bevacizumab, 10 mg	14%	196	161	$3K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	6.3%	58	57	$1K

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.