Michael Tedford MD LLC

Michael Tedford MD LLC was paid $185K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoMICHAEL TEDFORD MD LLC
NEWBURGH, NY 12550

33aNPI1689856395assigned 12/04/2007

33bProvider typeOphthalmology Physician

28Total paid$185K

24GClaims2,311

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#294 of 1,085

Median peer was paid$34K

This provider vs. median5.5×

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	122	$10K
2019	180	$16K
2020	185	$12K
2021	459	$34K
2022	443	$41K
2023	573	$45K
2024incomplete	349	$28K

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	55%	1,399	1,296	$103K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	17%	253	253	$31K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	11%	175	174	$20K
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	6.6%	92	92	$12K
92250		5.7%	235	235	$10K
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	4.0%	88	88	$7K
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%	12	12	$1K
92015	Determination of refractive state	<1%	57	57	$784.06

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 officialTEDFORD, MICHAEL (OWNER)