DR. E. M. Kirstein & Associates, INC.
DR. E. M. Kirstein & Associates, INC. was paid $369K by Medicaid between Jan 2018 and Jul 2021, across 19 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.
33Billing provider infoDR. E. M. KIRSTEIN & ASSOCIATES, INC.
CINCINNATI, OH 45249
CINCINNATI, OH 45249
33aNPI1649317108assigned 01/31/2007
33bProvider typeOptometrist
28Total paid$369K
24GClaims16,805
24DCodes billed19
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#96 of 1,098
Median peer was paid$41K
This provider vs. median9.0×
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 | 4,192 | $108K | |
| 2019 | 7,868 | $172K | |
| 2020 | 4,279 | $80K | |
| 2021 | 466 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 2,367 | 2,307 | $107K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 1,562 | 1,520 | $63K |
| 92015 | Determination of refractive state | 12% | 3,622 | 3,510 | $45K |
| V2020 | Frames, purchases | 11% | 2,330 | 2,275 | $40K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.6% | 1,708 | 1,693 | $35K |
| 92341 | 7.7% | 1,116 | 1,107 | $29K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3.4% | 423 | 422 | $12K |
| 92083 | 3.2% | 861 | 809 | $12K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.3% | 500 | 498 | $8K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.2% | 392 | 361 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,107 | 1,066 | $4K |
| 92134 | <1% | 218 | 212 | $2K |
7 more codes
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 261 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 177 | $1K |
| 92250 | <1% | 111 | $895.11 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 13 | $352.00 |
| 92133 | <1% | 13 | $159.60 | |
| 92132 | <1% | 12 | $117.27 | |
| V2210 | Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens | 0% | 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.
From NPPES
Who's on the registration
Authorized officialKIRSTEIN, ELLIOT (PRESIDENT)