Physician
Capital Region Pediatric Medical Eye Consultant, PLLC
Capital Region Pediatric Medical Eye Consultant, PLLC was paid $1.11M by Medicaid between May 2019 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoCAPITAL REGION PEDIATRIC MEDICAL EYE CONSULTANT, PLLC
LATHAM, NY 12110
LATHAM, NY 12110
33aNPI1851865513assigned 01/16/2019
28Total paid$1.11M
24GClaims23,410
24DCodes billed16
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers
Next to other Pediatric Ophthalmology and Strabismus Specialist Physician Physician providers in New York
Rank by total paid#10 of 24
Median peer was paid$212K
This provider vs. median5.2×
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 | 333 | $23K | |
| 2020 | 1,258 | $69K | |
| 2021 | 3,603 | $138K | |
| 2022 | 4,801 | $243K | |
| 2023 | 6,977 | $330K | |
| 2024incomplete | 6,438 | $307K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 2,479 | 2,454 | $196K |
| 92060 | 13% | 2,786 | 2,773 | $147K | |
| 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 | 13% | 1,002 | 999 | $142K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 1,345 | 1,345 | $125K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10% | 1,261 | 1,258 | $113K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 10% | 1,857 | 1,842 | $112K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 880 | 880 | $87K |
| 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 | 5.3% | 534 | 533 | $59K |
| V2020 | Frames, purchases | 4.7% | 1,441 | 1,415 | $52K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.4% | 2,413 | 1,356 | $38K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.3% | 676 | 434 | $26K |
| 92015 | Determination of refractive state | <1% | 5,009 | 5,003 | $10K |
4 more codes
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 officialBARRY, GERARD (OWNER)