Eye Specialists INC
Eye Specialists INC was paid $1.59M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 30% of everything it billed.
33Billing provider infoEYE SPECIALISTS INC
CHILLICOTHE, OH 45601
CHILLICOTHE, OH 45601
33aNPI1841249265assigned 05/10/2006
33bProvider typeOptometrist
28Total paid$1.59M
24GClaims48,362
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#14 of 1,098
Median peer was paid$41K
This provider vs. median39×
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 | 9,916 | $201K | |
| 2019 | 10,029 | $197K | |
| 2020 | 7,107 | $227K | |
| 2021 | 8,032 | $393K | |
| 2022 | 6,567 | $329K | |
| 2023 | 4,689 | $176K | |
| 2024incomplete | 2,022 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 30% | 1,793 | 1,606 | $472K |
| 67028 | Intravitreal injection of a pharmacologic agent | 20% | 5,280 | 4,126 | $312K |
| J0178 | Injection, aflibercept, 1 mg | 18% | 317 | 276 | $279K |
| J3590 | Unclassified biologics | 7.2% | 3,353 | 2,754 | $115K |
| 00142 | 6.0% | 2,490 | 2,182 | $95K | |
| 92134 | 5.1% | 9,781 | 9,217 | $82K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.9% | 5,524 | 5,152 | $78K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.2% | 1,743 | 1,645 | $52K |
| J9035 | Injection, bevacizumab, 10 mg | 1.8% | 361 | 298 | $29K |
| 92136 | 1.7% | 2,107 | 1,917 | $27K | |
| 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% | 199 | 186 | $12K |
| 92235 | <1% | 433 | 414 | $11K |
26 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 306 | $7K |
| 92083 | <1% | 327 | $7K | |
| 92133 | <1% | 461 | $5K | |
| 67210 | <1% | 13 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 169 | $3K |
| 92250 | <1% | 381 | $719.07 | |
| 92020 | <1% | 27 | $293.71 | |
| J3490 | Unclassified drugs | <1% | 32 | $220.50 |
| 76514 | <1% | 29 | $217.25 | |
| 92015 | Determination of refractive state | <1% | 12 | $129.36 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,764 | $0.01 |
| 1036F | <1% | 5,678 | $0.01 | |
| 4040F | 0% | 1,985 | $0.00 | |
| 4004F | 0% | 567 | $0.00 | |
| 5010F | 0% | 1,032 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 287 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 104 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 338 | $0.00 |
| 2022F | 0% | 132 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 395 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 34 | $0.00 |
| 2026F | 0% | 14 | $0.00 | |
| 3072F | 0% | 809 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 17 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 33 | $0.00 |
| 4177F | 0% | 35 | $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 officialWIESMAN, LINDSEY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Ohio Eye Surgery Center | Circleville, OH | $163K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.