Northern Ophthalmic Associates
Northern Ophthalmic Associates was paid $376K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 31% of everything it billed.
33Billing provider infoNORTHERN OPHTHALMIC ASSOCIATES
JENKINTOWN, PA 19046
JENKINTOWN, PA 19046
33aNPI1780653600assigned 03/14/2006
33bProvider typeOptometrist
28Total paid$376K
24GClaims16,487
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#66 of 983
Median peer was paid$20K
This provider vs. median19×
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 | 177 | $785.83 | |
| 2020 | 76 | $3K | |
| 2021 | 5,928 | $128K | |
| 2022 | 4,703 | $103K | |
| 2023 | 3,110 | $76K | |
| 2024incomplete | 2,493 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 31% | 4,303 | 1,198 | $116K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 3,029 | 2,995 | $115K |
| V2020 | Frames, purchases | 20% | 2,687 | 1,617 | $77K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 1,139 | 1,128 | $49K |
| 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 | 2.4% | 230 | 225 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 174 | 146 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 4,296 | 1,214 | $3K |
| 92015 | Determination of refractive state | <1% | 611 | 565 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 18 | 13 | $481.03 |
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 officialPIZZANO, JOSEPH (PRESIDENT/ PHYSICIAN)