Vilbert, Benjamin
Vilbert, Benjamin was paid $33K by Medicaid between Jan 2018 and May 2019, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 24% of everything it billed.
33Billing provider infoVILBERT, BENJAMIN
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
33aNPI1851380299assigned 10/18/2005
33bProvider typeSpecialist
28Total paid$33K
24GClaims2,395
24DCodes billed11
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#663 of 1,221
Median peer was paid$45K
This provider vs. median0.7×
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 | 1,623 | $22K | |
| 2019 | 772 | $10K |
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 | 24% | 202 | 202 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 185 | 185 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 20% | 316 | 158 | $6K |
| V2020 | Frames, purchases | 16% | 443 | 442 | $5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 5.9% | 49 | 48 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.0% | 80 | 40 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.7% | 30 | 30 | $1K |
| 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 | 1.5% | 13 | 13 | $505.62 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 12 | 12 | $448.92 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13 | 13 | $215.11 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 1,052 | 525 | $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.