Physician
Krouner, Andrew
Krouner, Andrew was paid $68K by Medicaid between Jan 2019 and Jun 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 73% of everything it billed.
33Billing provider infoKROUNER, ANDREW
WEXFORD, PA 15090
WEXFORD, PA 15090
33aNPI1740294255assigned 07/28/2006
33bProvider typeOphthalmology Physician
28Total paid$68K
24GClaims2,344
24DCodes billed6
24AFirst – last monthJan 2019 – Jun 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#68 of 288
Median peer was paid$7K
This provider vs. median9.8×
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 | |
|---|---|---|---|
| 2019 | 251 | $4K | |
| 2020 | 165 | $6K | |
| 2021 | 322 | $10K | |
| 2022 | 432 | $15K | |
| 2023 | 801 | $22K | |
| 2024incomplete | 373 | $13K |
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 | 73% | 1,408 | 1,400 | $50K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 19% | 524 | 486 | $13K |
| 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 | 7.6% | 80 | 80 | $5K |
| 92015 | Determination of refractive state | <1% | 262 | 261 | $387.46 |
| 92133 | <1% | 25 | 25 | $238.17 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 45 | 44 | $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.