Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Ophthalmology & Strabismus Associates of Southeastern PA

Pediatric Ophthalmology & Strabismus Associates of Southeastern PA was paid $199K by Medicaid between Oct 2020 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoPEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES OF SOUTHEASTERN PA
NEWTOWN SQUARE, PA 19073
33aNPI1699280719assigned 12/12/2017
28Total paid$199K
24GClaims5,365
24DCodes billed11
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Pediatric Ophthalmology and Strabismus Specialist Physician Physician providers in Pennsylvania

Rank by total paid#3 of 5
Median peer was paid$199K
This provider vs. median1.0×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2020251$7K
20211,178$43K
20221,178$43K
20231,437$53K
2024incomplete1,321$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 45% 1,771 1,730 $90K
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 31% 692 683 $61K
92060 8.2% 526 522 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.9% 412 404 $14K
92015 Determination of refractive state 5.3% 1,845 1,832 $11K
99244 Office or other outpatient consultation, moderate to high complexity 2.0% 31 31 $4K
99243 <1% 12 12 $930.61
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 14 14 $822.81
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 17 17 $778.84
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% 15 15 $720.76
99072 0% 30 26 $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 officialALLEY, CYNTHIA (MED STAFF)