Ophthalmology Associates, PSC
Ophthalmology Associates, PSC was paid $635K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoOPHTHALMOLOGY ASSOCIATES, PSC
LOUISVILLE, KY 40241
LOUISVILLE, KY 40241
33aNPI1871568527assigned 02/17/2006
33bProvider typeSpecialist
28Total paid$635K
24GClaims20,174
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#16 of 73
Median peer was paid$107K
This provider vs. median5.9×
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 | 1,414 | $44K | |
| 2019 | 2,230 | $64K | |
| 2020 | 2,305 | $70K | |
| 2021 | 4,114 | $112K | |
| 2022 | 3,432 | $107K | |
| 2023 | 3,834 | $167K | |
| 2024incomplete | 2,845 | $70K |
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 | 19% | 3,801 | 3,093 | $122K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 4,503 | 3,420 | $113K |
| 67028 | Intravitreal injection of a pharmacologic agent | 15% | 2,960 | 2,061 | $92K |
| J0178 | Injection, aflibercept, 1 mg | 14% | 213 | 155 | $88K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 1,416 | 1,177 | $87K |
| 92134 | 9.8% | 5,792 | 4,270 | $62K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.5% | 425 | 378 | $29K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.7% | 312 | 284 | $23K |
| 67311 | 1.2% | 16 | 15 | $7K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 127 | 90 | $5K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 136 | 113 | $3K |
| J3590 | Unclassified biologics | <1% | 473 | 376 | $2K |
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 officialHOPUY, DIANA (PRACTICE ADMINISTRATOR)