Childrens Hospital Ophthalmology Foundation INC
Childrens Hospital Ophthalmology Foundation INC was paid $2.47M 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 — 37% of everything it billed.
33Billing provider infoCHILDRENS HOSPITAL OPHTHALMOLOGY FOUNDATION INC
BOSTON, MA 02115
BOSTON, MA 02115
33aNPI1770679045assigned 10/05/2006
33bProvider typeOptometrist
28Total paid$2.47M
24GClaims48,609
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#11 of 629
Median peer was paid$15K
This provider vs. median164×
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 | 4,602 | $207K | |
| 2019 | 4,974 | $248K | |
| 2020 | 2,840 | $139K | |
| 2021 | 3,998 | $182K | |
| 2022 | 5,491 | $253K | |
| 2023 | 13,443 | $696K | |
| 2024incomplete | 13,261 | $745K |
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 | 37% | 13,417 | 13,321 | $914K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 6,535 | 6,496 | $627K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,935 | 5,791 | $279K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.0% | 3,120 | 2,991 | $174K |
| 92060 | 6.7% | 6,244 | 4,874 | $167K | |
| 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 | 5.3% | 2,056 | 1,977 | $132K |
| 92015 | Determination of refractive state | 3.7% | 7,118 | 7,086 | $92K |
| 92250 | <1% | 831 | 685 | $16K | |
| 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 | <1% | 98 | 98 | $12K |
| 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% | 147 | 147 | $11K |
| 92285 | <1% | 1,561 | 1,237 | $8K | |
| 92083 | <1% | 408 | 298 | $7K |
11 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 183 | $6K |
| 92134 | <1% | 221 | $5K | |
| 92499 | <1% | 112 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 55 | $4K |
| 92133 | <1% | 262 | $4K | |
| 92018 | <1% | 25 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59 | $2K |
| 92226 | <1% | 92 | $2K | |
| 92201 | <1% | 81 | $1K | |
| 95930 | <1% | 36 | $471.99 | |
| 92025 | <1% | 13 | $210.17 |
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 officialDAVIDSON, LUCIA (BILLING MANAGER)