Ophthalmology Associates of Mankato PA

Ophthalmology Associates of Mankato PA was paid $214K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoOPHTHALMOLOGY ASSOCIATES OF MANKATO PA
MANKATO, MN 56001

33aNPI1801892237assigned 06/21/2005

33bProvider typeOphthalmology Physician

28Total paid$214K

24GClaims6,290

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Minnesota

Rank by total paid#8 of 30

Median peer was paid$43K

This provider vs. median4.9×

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	720	$4K
2019	620	$24K
2020	529	$19K
2021	1,064	$46K
2022	841	$28K
2023	1,341	$49K
2024incomplete	1,175	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	1,609	1,407	$78K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	33%	1,133	1,094	$71K
92015	Determination of refractive state	16%	2,883	2,771	$33K
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	4.9%	119	111	$10K
92134		3.1%	271	250	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.7%	77	77	$6K
67028	Intravitreal injection of a pharmacologic agent	1.8%	56	50	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.3%	42	40	$3K
92060		<1%	28	27	$1K
92133		<1%	41	39	$882.88
92136		<1%	31	24	$527.86

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 officialEMICH, SARA (ADMINISTRATOR)