Physician
Medical and Surgical Eye Specialist, PLLC
Medical and Surgical Eye Specialist, PLLC was paid $2.28M by Medicaid between Jan 2018 and Jun 2024, across 35 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 27% of everything it billed.
33Billing provider infoMEDICAL AND SURGICAL EYE SPECIALIST, PLLC
FLUSHING, NY 11355
FLUSHING, NY 11355
33aNPI1669640512assigned 02/13/2008
33bProvider typeOphthalmology Physician
28Total paid$2.28M
24GClaims69,604
24DCodes billed35
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#50 of 1,085
Median peer was paid$34K
This provider vs. median67×
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 | 12,923 | $492K | |
| 2019 | 13,580 | $430K | |
| 2020 | 7,403 | $217K | |
| 2021 | 13,804 | $388K | |
| 2022 | 11,468 | $341K | |
| 2023 | 8,734 | $318K | |
| 2024incomplete | 1,692 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 27% | 6,766 | 6,662 | $604K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 4,228 | 4,228 | $534K |
| 92250 | 7.8% | 3,828 | 3,827 | $178K | |
| 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 | 7.3% | 950 | 950 | $166K |
| 92134 | 7.3% | 4,134 | 4,133 | $166K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.1% | 1,062 | 1,062 | $161K |
| 92201 | 4.5% | 4,229 | 4,226 | $102K | |
| 92083 | 3.9% | 1,366 | 1,362 | $89K | |
| 92226 | 3.4% | 2,573 | 1,587 | $78K | |
| 92225 | 2.1% | 1,448 | 905 | $49K | |
| 92133 | 2.1% | 1,318 | 1,316 | $48K | |
| 92020 | 1.8% | 1,526 | 1,525 | $42K |
23 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 1,266 | $21K |
| 66761 | <1% | 48 | $15K | |
| 92002 | <1% | 140 | $12K | |
| V2020 | Frames, purchases | <1% | 781 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $5K |
| 99072 | <1% | 963 | $819.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | $246.48 |
| 1036F | <1% | 5,589 | $88.03 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 10,788 | $88.03 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 554 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 8,977 | $0.00 |
| 2019F | 0% | 91 | $0.00 | |
| 4177F | 0% | 798 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 26 | $0.00 |
| 3072F | 0% | 50 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 26 | $0.00 |
| 0517F | 0% | 1,365 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 2,966 | $0.00 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 1,101 | $0.00 |
| 2027F | 0% | 436 | $0.00 | |
| 2024F | 0% | 52 | $0.00 | |
| 2022F | 0% | 39 | $0.00 | |
| 2026F | 0% | 52 | $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 officialYUAN, RUMEI (MD)