Physician
Canton Ophthalmology Associates, INC.
Canton Ophthalmology Associates, INC. was paid $367K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoCANTON OPHTHALMOLOGY ASSOCIATES, INC.
CANTON, OH 44708
CANTON, OH 44708
33aNPI1861508079assigned 08/21/2006
33bProvider typeOphthalmology Physician
28Total paid$367K
24GClaims14,473
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Ohio
Rank by total paid#17 of 155
Median peer was paid$10K
This provider vs. median35×
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 | 2,581 | $65K | |
| 2019 | 2,698 | $79K | |
| 2020 | 1,934 | $45K | |
| 2021 | 2,200 | $54K | |
| 2022 | 2,030 | $46K | |
| 2023 | 1,749 | $47K | |
| 2024incomplete | 1,281 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 2,380 | 2,174 | $122K |
| 92015 | Determination of refractive state | 28% | 7,396 | 6,654 | $103K |
| 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 | 14% | 688 | 659 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,540 | 1,385 | $45K |
| 92250 | 5.6% | 1,651 | 1,477 | $20K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 288 | 247 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 183 | 154 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 39 | 38 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 30 | 27 | $1K |
| 92134 | <1% | 135 | 128 | $1K | |
| 92136 | <1% | 39 | 39 | $668.21 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 12 | $272.01 |
1 more codes
| 99072 | 0% | 90 | $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 officialZUCKER, JAMIE (MANAGING PARTNER)