Eye Care Specialists LLC

Eye Care Specialists LLC was paid $37K by Medicaid between Sep 2022 and Oct 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 47% of everything it billed.

33Billing provider infoEYE CARE SPECIALISTS LLC
EAST WINDSOR, NJ 08520

33aNPI1851047054assigned 02/25/2022

33bProvider typeOphthalmology Physician

28Total paid$37K

24GClaims1,161

24DCodes billed6

24AFirst – last monthSep 2022 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#92 of 213

Median peer was paid$20K

This provider vs. median1.9×

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
2022	39	$1K
2023	631	$19K
2024incomplete	491	$16K

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	47%	547	407	$17K
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	23%	164	131	$9K
92250		21%	227	188	$8K
92134		7.4%	193	161	$3K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.5%	14	12	$559.00
92133		<1%	16	12	$188.68

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 officialHEIMMEL, MARK (PHYSICIAN)