Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Costello Eye Physicians & Surgeons, PLLC

Costello Eye Physicians & Surgeons, PLLC was paid $305K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.

33Billing provider infoCOSTELLO EYE PHYSICIANS & SURGEONS, PLLC
ONEIDA, NY 13421
33aNPI1699785832assigned 08/09/2006
33bProvider typeOptometrist
28Total paid$305K
24GClaims3,861
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#303 of 1,605
Median peer was paid$29K
This provider vs. median10×

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$5.0K$10K2018201920202021202220232024
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
2018656$45K
2019381$41K
2020269$18K
2021582$49K
2022626$57K
2023630$49K
2024incomplete717$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 40% 1,123 1,118 $123K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 1,405 1,234 $94K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16% 604 599 $49K
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 4.9% 140 140 $15K
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 3.2% 112 111 $10K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1.7% 13 12 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 36 36 $3K
92083 <1% 45 44 $2K
92133 <1% 70 70 $2K
92002 <1% 13 13 $985.23
76519 <1% 12 12 $495.51
92015 Determination of refractive state <1% 288 284 $151.68

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 officialCOSTELLO, JOHN (PARTNER)
Same official

Other billing entities under COSTELLO, JOHN

Full network →
ProviderLocationPaid
John L. Costello Od PAHowell, NJ$105.60

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.