Spector, Robert

Spector, Robert was paid $29K by Medicaid between Oct 2020 and Oct 2021, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoSPECTOR, ROBERT
PHILADELPHIA, PA 19134

33aNPI1831259209assigned 12/08/2006

33bProvider typeOphthalmology Physician

28Total paid$29K

24GClaims866

24DCodes billed10

24AFirst – last monthOct 2020 – Oct 2021

Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#92 of 288

Median peer was paid$7K

This provider vs. median4.1×

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	100	$2K
2021	766	$26K

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	43%	304	287	$12K
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	16%	43	42	$5K
92201		16%	191	176	$5K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	9.9%	96	93	$3K
92202		4.9%	118	117	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.8%	31	31	$1K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.6%	14	14	$733.44
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	2.0%	14	13	$566.00
92015	Determination of refractive state	<1%	43	42	$156.41
99174		<1%	12	12	$99.84

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.