Physician
Pioneer Valley Eye Associates, PC
Pioneer Valley Eye Associates, PC was paid $2.26M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoPIONEER VALLEY EYE ASSOCIATES, PC
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1750386298assigned 06/20/2005
33bProvider typeOphthalmology Physician
28Total paid$2.26M
24GClaims55,983
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Massachusetts
Rank by total paid#6 of 203
Median peer was paid$18K
This provider vs. median127×
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 | 9,730 | $354K | |
| 2019 | 8,866 | $369K | |
| 2020 | 7,100 | $306K | |
| 2021 | 8,682 | $402K | |
| 2022 | 7,377 | $301K | |
| 2023 | 7,518 | $269K | |
| 2024incomplete | 6,710 | $259K |
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 | 35% | 11,431 | 11,164 | $792K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 10,622 | 9,538 | $299K |
| V2020 | Frames, purchases | 9.7% | 1,892 | 1,717 | $219K |
| 92015 | Determination of refractive state | 7.8% | 13,751 | 13,617 | $177K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.8% | 1,608 | 1,600 | $153K |
| 92341 | 5.3% | 3,453 | 3,390 | $120K | |
| 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 | 4.9% | 1,720 | 1,688 | $111K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 2,715 | 2,598 | $90K |
| 92083 | 3.3% | 2,540 | 1,937 | $74K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.2% | 1,020 | 926 | $71K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.9% | 1,299 | 1,245 | $65K |
| 92133 | 2.2% | 2,820 | 2,155 | $50K |
11 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 128 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 235 | $9K |
| 92136 | <1% | 348 | $5K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 38 | $5K |
| 92370 | <1% | 91 | $1K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 17 | $808.74 |
| 92002 | <1% | 13 | $739.84 | |
| 92134 | <1% | 34 | $593.69 | |
| 2022F | 0% | 34 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 92 | $0.00 |
| 1036F | 0% | 82 | $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 officialMCAUSLAN, KATHY (BILLING MANAGER)