Physician
Pihlblad, Matthew
Pihlblad, Matthew was paid $231K by Medicaid between Nov 2020 and Dec 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoPIHLBLAD, MATTHEW
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
33aNPI1790948123assigned 07/07/2008
33bProvider typeOphthalmology Physician
28Total paid$231K
24GClaims2,853
24DCodes billed8
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#34 of 288
Median peer was paid$7K
This provider vs. median33×
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 | |
|---|---|---|---|
| 2020 | 142 | $10K | |
| 2021 | 622 | $42K | |
| 2022 | 479 | $42K | |
| 2023 | 728 | $56K | |
| 2024incomplete | 882 | $81K |
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 | 33% | 884 | 875 | $76K |
| 92060 | 19% | 651 | 650 | $43K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 321 | 320 | $37K |
| V2020 | Frames, purchases | 14% | 337 | 336 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 477 | 464 | $30K |
| 92201 | 2.1% | 129 | 83 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 38 | 24 | $5K |
| 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% | 16 | 16 | $2K |
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.