Physician
Northwest Pediatric Ophthalmology
Northwest Pediatric Ophthalmology was paid $4.16M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoNORTHWEST PEDIATRIC OPHTHALMOLOGY
SPOKANE, WA 99202
SPOKANE, WA 99202
33aNPI1861567422assigned 11/21/2006
33bProvider typeOphthalmology Physician
28Total paid$4.16M
24GClaims75,124
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Washington
Rank by total paid#1 of 69
Median peer was paid$8K
This provider vs. median505×
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 | 8,726 | $459K | |
| 2019 | 9,252 | $508K | |
| 2020 | 7,345 | $385K | |
| 2021 | 10,507 | $589K | |
| 2022 | 11,946 | $684K | |
| 2023 | 14,103 | $789K | |
| 2024incomplete | 13,245 | $752K |
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 | 39% | 17,092 | 15,876 | $1.64M |
| 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 | 19% | 6,107 | 5,647 | $806K |
| 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% | 11,421 | 10,679 | $756K |
| 92060 | 11% | 12,515 | 11,491 | $444K | |
| 92015 | Determination of refractive state | 6.4% | 24,368 | 22,523 | $265K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.5% | 2,684 | 2,386 | $229K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 191 | 133 | $9K |
| 92201 | <1% | 669 | 436 | $8K | |
| 99223 | Prolong inpt eval add15 m | <1% | 59 | 54 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 18 | 12 | $1K |
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 officialNYE, CHRISTINA (PHYSICIAN OWNER)