Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Ophthalmic Associates, INC.

Pediatric Ophthalmic Associates, INC. was paid $111K by Medicaid between Jan 2018 and Nov 2018, across 4 billing codes. Its largest line is 92060, — 48% of everything it billed.

33Billing provider infoPEDIATRIC OPHTHALMIC ASSOCIATES, INC.
FRAMINGHAM, MA 01702
33aNPI1699709691assigned 07/10/2006
33bProvider typePediatric Optometrist
28Total paid$111K
24GClaims1,447
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Pediatric Optometrist providers in Massachusetts

Rank by total paid#2 of 10
Median peer was paid$45K
This provider vs. median2.4×

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$10K$20K2018201920202021202220232024
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
20181,447$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92060 48% 766 766 $53K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27% 226 226 $30K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 25% 176 176 $28K
92015 Determination of refractive state 0% 279 279 $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 officialBLOCKER, RICHARD (OPHTHALMOLOGIST)