John A. Pilavas MD PLLC

John A. Pilavas MD PLLC was paid $60K by Medicaid between May 2019 and Oct 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.

33Billing provider infoJOHN A. PILAVAS MD PLLC
ASTORIA, NY 11106

33aNPI1851897466assigned 04/03/2018

33bProvider typeOphthalmology Physician

28Total paid$60K

24GClaims1,764

24DCodes billed8

24AFirst – last monthMay 2019 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#462 of 1,085

Median peer was paid$34K

This provider vs. median1.8×

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	89	$3K
2020	92	$3K
2021	390	$12K
2022	340	$13K
2023	517	$19K
2024incomplete	336	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	36%	165	165	$21K
92201		24%	727	724	$14K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	19%	118	118	$11K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	18%	158	138	$11K
92025		2.5%	49	49	$1K
92225		1.8%	56	29	$1K
92015	Determination of refractive state	0%	296	296	$0.00
99072		0%	195	177	$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 officialPILAVAS, JOHN (MD)