Allen J. Fishman, M.D., P.C.

Allen J. Fishman, M.D., P.C. was paid $2.01M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.

33Billing provider infoALLEN J. FISHMAN, M.D., P.C.
REGO PARK, NY 11374

33aNPI1700968013assigned 10/19/2006

33bProvider typeOphthalmology Physician

28Total paid$2.01M

24GClaims39,178

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#59 of 1,085

Median peer was paid$34K

This provider vs. median59×

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	4,632	$274K
2019	5,766	$313K
2020	4,992	$271K
2021	6,574	$321K
2022	6,636	$335K
2023	6,826	$321K
2024incomplete	3,752	$177K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	44%	10,041	10,030	$888K
92250		13%	7,303	7,294	$252K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	11%	3,067	2,925	$217K
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	10%	1,496	1,495	$202K
92015	Determination of refractive state	7.4%	9,228	9,228	$148K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.7%	1,052	1,052	$135K
92083		3.3%	1,326	1,325	$65K
99244	Office or other outpatient consultation, moderate to high complexity	2.4%	336	336	$49K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	322	322	$33K
92133		<1%	524	524	$13K
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%	64	63	$4K
99072		<1%	336	322	$3K

3 more codes

92134		<1%	50	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	754	$3.50
S9986	Not medically necessary service (patient is aware that service not medically necessary)	0%	3,279	$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 officialFISHMAN, ALLEN (OWNER)