River Cities Ophthalmology, P.C.

River Cities Ophthalmology, P.C. was paid $26K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 44% of everything it billed.

33Billing provider infoRIVER CITIES OPHTHALMOLOGY, P.C.
FORT MADISON, IA 52627

33aNPI1831143510assigned 05/19/2006

33bProvider typeOphthalmology Physician

28Total paid$26K

24GClaims1,263

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Iowa

Rank by total paid#13 of 40

Median peer was paid$4K

This provider vs. median7.3×

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	236	$4K
2019	118	$2K
2020	102	$2K
2021	158	$4K
2022	172	$3K
2023	244	$5K
2024incomplete	233	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	44%	187	138	$11K
92134		43%	889	685	$11K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	11%	136	110	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.3%	19	14	$326.94
92015	Determination of refractive state	<1%	32	25	$255.85

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 officialCUTLER, DEBBIE (OFFICE ADMINISTRATOR)