Mid-Hudson Ophthalmological Retina Consultants, PLLC

Mid-Hudson Ophthalmological Retina Consultants, PLLC was paid $305K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 51% of everything it billed.

33Billing provider infoMID-HUDSON OPHTHALMOLOGICAL RETINA CONSULTANTS, PLLC
NEWBURGH, NY 12550

33aNPI1831266493assigned 11/29/2006

33bProvider typeRetina Specialist (Ophthalmology) Physician

28Total paid$305K

24GClaims5,389

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in New York

Rank by total paid#12 of 60

Median peer was paid$52K

This provider vs. median5.9×

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	578	$36K
2019	627	$32K
2020	464	$22K
2021	919	$48K
2022	1,200	$65K
2023	1,062	$78K
2024incomplete	539	$24K

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	51%	1,732	1,686	$156K
92134		36%	3,488	3,356	$110K
J0178	Injection, aflibercept, 1 mg	8.3%	13	12	$25K
67028	Intravitreal injection of a pharmacologic agent	3.0%	103	97	$9K
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	1.3%	29	29	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	12	12	$853.23
92202		<1%	12	12	$91.24

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 officialLOCICERO, COLLEEN (OFFICE MANAGER)