Urban Eye MD Associates, P.C

Urban Eye MD Associates, P.C was paid $144K by Medicaid between Jan 2018 and Mar 2020, across 12 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 49% of everything it billed.

33Billing provider infoURBAN EYE MD ASSOCIATES, P.C
BOSTON, MA 02118

33aNPI1699810226assigned 02/21/2007

33bProvider typeOphthalmology Physician

28Total paid$144K

24GClaims3,817

24DCodes billed12

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#47 of 203

Median peer was paid$18K

This provider vs. median8.1×

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	1,678	$59K
2019	1,823	$69K
2020	316	$16K

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	49%	1,848	1,808	$70K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	28%	720	717	$40K
92083		7.1%	390	341	$10K
92133		6.0%	486	425	$9K
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	4.7%	147	147	$7K
65855		2.7%	50	41	$4K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	1.5%	14	12	$2K
92250		<1%	48	43	$713.12
92015	Determination of refractive state	<1%	32	32	$454.82
76519		<1%	17	13	$401.96
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$269.97
76514		<1%	53	47	$140.98

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 officialSCANTLEBURY, KAREN (PRACTICE ADMIN)