Capital Region Eye Specialist and Surgeon PLLC

Capital Region Eye Specialist and Surgeon PLLC was paid $67K by Medicaid between Mar 2019 and Jul 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 infoCAPITAL REGION EYE SPECIALIST AND SURGEON PLLC
SLINGERLANDS, NY 12159

33aNPI1841414844assigned 04/12/2007

33bProvider typeOphthalmology Physician

28Total paid$67K

24GClaims1,627

24DCodes billed9

24AFirst – last monthMar 2019 – Jul 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#446 of 1,085

Median peer was paid$34K

This provider vs. median2.0×

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
2019	38	$1K
2020	58	$4K
2021	230	$12K
2022	123	$4K
2023	769	$29K
2024incomplete	409	$16K

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%	151	145	$14K
92025		21%	505	495	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	190	168	$13K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	16%	156	145	$11K
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	11%	53	53	$7K
76514		4.7%	385	383	$3K
83861		3.3%	140	71	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	2.2%	13	13	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	34	28	$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 officialSCHULTZE, ROBERT (OWNER)