Sturm, Richard

Sturm, Richard was paid $130K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoSTURM, RICHARD
OCEANSIDE, NY 11572

33aNPI1669477626assigned 06/16/2005

33bProvider typeOphthalmology Physician

28Total paid$130K

24GClaims3,806

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#355 of 1,085

Median peer was paid$34K

This provider vs. median3.9×

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	564	$20K
2019	696	$26K
2020	413	$19K
2021	618	$20K
2022	488	$13K
2023	496	$15K
2024incomplete	531	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	33%	1,220	1,209	$44K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	29%	773	771	$38K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	14%	598	587	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	421	419	$16K
92133		3.8%	304	288	$5K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.3%	40	39	$3K
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%	36	36	$2K
92015	Determination of refractive state	1.0%	311	311	$1K
92083		<1%	40	39	$1K
92250		<1%	49	49	$875.70
92020		<1%	14	13	$161.40

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.