Physician
Marcus, Edward
Marcus, Edward was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 45% of everything it billed.
33Billing provider infoMARCUS, EDWARD
NEW YORK, NY 10075
NEW YORK, NY 10075
33aNPI1841451937assigned 06/20/2008
33bProvider typeOphthalmology Physician
28Total paid$1.30M
24GClaims23,577
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#86 of 1,085
Median peer was paid$34K
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 | 2,504 | $51K | |
| 2019 | 3,984 | $197K | |
| 2020 | 3,031 | $204K | |
| 2021 | 2,855 | $206K | |
| 2022 | 3,900 | $251K | |
| 2023 | 3,947 | $203K | |
| 2024incomplete | 3,356 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 45% | 1,397 | 1,186 | $589K |
| 67210 | 25% | 3,315 | 2,939 | $319K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 10% | 3,619 | 3,244 | $136K |
| 92235 | 6.0% | 3,028 | 2,974 | $79K | |
| 92134 | 3.8% | 5,588 | 5,302 | $49K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.7% | 2,140 | 2,024 | $48K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.7% | 1,439 | 1,414 | $36K |
| 92250 | 2.0% | 1,919 | 1,799 | $26K | |
| J9035 | Injection, bevacizumab, 10 mg | 1.5% | 952 | 816 | $20K |
| 92226 | <1% | 163 | 95 | $1K | |
| 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% | 17 | 12 | $303.76 |
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.