University of Rochester Pediatric Ophthalmology Services
University of Rochester Pediatric Ophthalmology Services was paid $3.55M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 20% of everything it billed.
ROCHESTER, NY 14642
Next to other Ophthalmology Physician providers in New York
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 | 4,793 | $363K | |
| 2019 | 6,050 | $411K | |
| 2020 | 5,412 | $422K | |
| 2021 | 6,047 | $481K | |
| 2022 | 7,436 | $587K | |
| 2023 | 8,890 | $689K | |
| 2024incomplete | 7,737 | $599K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 6,619 | 6,592 | $723K |
| 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 | 19% | 6,312 | 6,203 | $659K |
| 92060 | 13% | 8,639 | 8,631 | $478K | |
| 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 | 13% | 3,217 | 3,216 | $470K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 4,907 | 4,836 | $369K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.8% | 3,141 | 3,100 | $240K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 2,299 | 2,298 | $222K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.2% | 1,728 | 1,727 | $221K |
| 92015 | Determination of refractive state | 2.4% | 8,158 | 8,152 | $86K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 214 | 201 | $31K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 303 | 168 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 105 | 90 | $11K |
7 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 323 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 199 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $2K |
| 92201 | <1% | 109 | $2K | |
| 92133 | <1% | 40 | $829.09 | |
| 92025 | <1% | 25 | $399.30 | |
| 92250 | <1% | 12 | $223.59 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.