Physician
Metropolitan Pediatric Ophthalmology LLC
Metropolitan Pediatric Ophthalmology LLC was paid $1.12M by Medicaid between Jan 2020 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoMETROPOLITAN PEDIATRIC OPHTHALMOLOGY LLC
GLENN DALE, MD 20769
GLENN DALE, MD 20769
33aNPI1821396961assigned 03/13/2011
33bProvider typeOphthalmology Physician
28Total paid$1.12M
24GClaims18,335
24DCodes billed9
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Maryland
Rank by total paid#10 of 124
Median peer was paid$19K
This provider vs. median58×
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 | 2,874 | $128K | |
| 2021 | 3,444 | $215K | |
| 2022 | 3,915 | $253K | |
| 2023 | 4,222 | $267K | |
| 2024incomplete | 3,880 | $253K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 22% | 2,142 | 1,888 | $247K |
| 92060 | 18% | 4,392 | 3,919 | $201K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 1,994 | 1,810 | $178K |
| 99243 | 12% | 1,259 | 1,076 | $135K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 1,096 | 971 | $116K |
| 92015 | Determination of refractive state | 9.2% | 6,004 | 5,355 | $103K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 873 | 763 | $70K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.1% | 398 | 360 | $68K |
| 99072 | 0% | 177 | 160 | $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 officialSMITH-MARSHALL, JANINE (SOLE PROPRIETOR)