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

Eye Surgery Associates LLC

Eye Surgery Associates LLC was paid $210K by Medicaid between Jan 2018 and Mar 2019, across 18 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 25% of everything it billed.

33Billing provider infoEYE SURGERY ASSOCIATES LLC
STRATFORD, CT 06614
33aNPI1740245703assigned 04/20/2006
33bProvider typeOphthalmology Physician
28Total paid$210K
24GClaims5,803
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers

Next to other Ophthalmology Physician providers in Connecticut

Rank by total paid#21 of 97
Median peer was paid$13K
This provider vs. median16×

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$20K$30K2018201920202021202220232024
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
20185,153$191K
2019650$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99244 Office or other outpatient consultation, moderate to high complexity 25% 426 418 $52K
92015 Determination of refractive state 23% 1,763 1,655 $49K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 876 811 $34K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7.2% 655 626 $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 6.1% 246 231 $13K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5.3% 277 258 $11K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3.5% 478 436 $7K
92060 3.4% 251 247 $7K
92250 2.6% 263 244 $5K
V2020 Frames, purchases 2.2% 168 159 $5K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 1.6% 120 108 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 1.4% 132 118 $3K
6 more codes
99204 Doctor's office visit, new patient (more involved) 1.2% 26 $3K
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens <1% 28 $955.68
92134 <1% 42 $626.15
92083 <1% 17 $478.50
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 20 $421.20
92025 <1% 15 $93.20

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 officialMUSTO, ANTHONY (MEMBER MANAGER)