Physician
Pediatric Ophthalmology of Erie, INC
Pediatric Ophthalmology of Erie, INC was paid $205K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY OF ERIE, INC
ERIE, PA 16501
ERIE, PA 16501
33aNPI1629127683assigned 01/09/2007
33bProvider typeOphthalmology Physician
28Total paid$205K
24GClaims6,213
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#38 of 288
Median peer was paid$7K
This provider vs. median29×
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 | 158 | $1K | |
| 2019 | 158 | $657.60 | |
| 2020 | 344 | $10K | |
| 2021 | 1,560 | $50K | |
| 2022 | 1,309 | $37K | |
| 2023 | 958 | $23K | |
| 2024incomplete | 1,726 | $83K |
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 | 30% | 1,399 | 1,375 | $61K |
| V2020 | Frames, purchases | 26% | 577 | 569 | $52K |
| 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 | 12% | 429 | 424 | $25K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10% | 325 | 318 | $21K |
| 92015 | Determination of refractive state | 7.7% | 2,674 | 2,616 | $16K |
| 92060 | 6.1% | 315 | 313 | $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 | 1.9% | 39 | 39 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 54 | 53 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 51 | 51 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.7% | 74 | 57 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 185 | 173 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | 20 | $546.76 |
2 more codes
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 officialSALA, NICHOLAS (PRESIDENT)