Edinburgh PLLC
Edinburgh PLLC was paid $605K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoEDINBURGH PLLC
EDINBURGH, IN 46124
EDINBURGH, IN 46124
33aNPI1780758730assigned 11/20/2006
33bProvider typeOptometrist
28Total paid$605K
24GClaims12,579
24DCodes billed9
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#99 of 743
Median peer was paid$22K
This provider vs. median28×
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 | 986 | $34K | |
| 2019 | 1,319 | $53K | |
| 2020 | 1,326 | $62K | |
| 2021 | 2,358 | $107K | |
| 2022 | 2,545 | $126K | |
| 2023 | 2,596 | $129K | |
| 2024incomplete | 1,449 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 1,692 | 1,576 | $182K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 1,790 | 1,683 | $161K |
| V2020 | Frames, purchases | 17% | 2,848 | 2,663 | $105K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 1,345 | 1,247 | $63K |
| 92015 | Determination of refractive state | 10% | 4,128 | 3,882 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 357 | 296 | $18K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.3% | 354 | 332 | $14K |
| 92250 | <1% | 52 | 44 | $1K | |
| 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 | <1% | 13 | 12 | $869.26 |
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 officialZAMORA, MARSHALL (PARTNER)