Physician
Pediatric Ophthalmology of Western Massachusetts, LLC
Pediatric Ophthalmology of Western Massachusetts, LLC was paid $619K by Medicaid between Aug 2021 and Dec 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 23% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY OF WESTERN MASSACHUSETTS, LLC
AGAWAM, MA 01001
AGAWAM, MA 01001
33aNPI1851966758assigned 05/24/2021
28Total paid$619K
24GClaims10,474
24DCodes billed9
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Pediatric Ophthalmology and Strabismus Specialist Physician Physician providers in Massachusetts
Rank by total paid#1 of 12
Median peer was paid$5K
This provider vs. median131×
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 | |
|---|---|---|---|
| 2021 | 286 | $13K | |
| 2022 | 2,224 | $123K | |
| 2023 | 3,640 | $208K | |
| 2024incomplete | 4,324 | $275K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 1,072 | 1,067 | $141K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 1,408 | 1,406 | $123K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 787 | 787 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,296 | 1,274 | $79K |
| 92015 | Determination of refractive state | 9.2% | 4,102 | 4,098 | $57K |
| 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 | 8.6% | 576 | 574 | $53K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.9% | 433 | 433 | $43K |
| 92060 | 3.3% | 786 | 404 | $20K | |
| 67311 | 1.3% | 14 | 14 | $8K |
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 officialABRAMS, MICHAEL (MANAGING MEMBER)