Physician
Riverside Eye Center PA
Riverside Eye Center PA was paid $1.62M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 63% of everything it billed.
33Billing provider infoRIVERSIDE EYE CENTER PA
LEWISTON, ME 04240
LEWISTON, ME 04240
33aNPI1780879510assigned 09/14/2007
33bProvider typeOphthalmology Physician
28Total paid$1.62M
24GClaims21,526
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Maine
Rank by total paid#2 of 20
Median peer was paid$20K
This provider vs. median83×
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 | 2,381 | $85K | |
| 2019 | 2,711 | $114K | |
| 2020 | 1,328 | $65K | |
| 2021 | 2,784 | $173K | |
| 2022 | 3,987 | $308K | |
| 2023 | 5,058 | $518K | |
| 2024incomplete | 3,277 | $353K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 63% | 1,722 | 1,140 | $1.01M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.1% | 2,556 | 2,341 | $114K |
| 67028 | Intravitreal injection of a pharmacologic agent | 6.3% | 3,497 | 2,350 | $102K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.4% | 1,477 | 1,419 | $87K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 5.0% | 593 | 277 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 2,334 | 1,915 | $66K |
| 92134 | 2.7% | 4,051 | 2,969 | $44K | |
| J9035 | Injection, bevacizumab, 10 mg | 1.7% | 1,061 | 739 | $27K |
| 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 | 1.4% | 442 | 363 | $23K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 576 | 542 | $20K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 327 | 314 | $14K |
| 92136 | <1% | 1,269 | 947 | $12K |
9 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 112 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 315 | $4K |
| Q5124 | Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg | <1% | 26 | $2K |
| 92015 | Determination of refractive state | <1% | 750 | $1K |
| 92133 | <1% | 80 | $1K | |
| 92083 | <1% | 25 | $389.39 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 134 | $0.00 |
| 99072 | 0% | 20 | $0.00 | |
| 1036F | 0% | 159 | $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 officialFOURNIER, JANICE (PRACTICE ADMINISTRATOR)