Spier, Bernard

Spier, Bernard was paid $101K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 61% of everything it billed.

33Billing provider infoSPIER, BERNARD
SOUTH ORANGE, NJ 07079

33aNPI1871578468assigned 12/07/2005

33bProvider typeOphthalmology Physician

28Total paid$101K

24GClaims3,807

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#68 of 213

Median peer was paid$20K

This provider vs. median5.2×

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	697	$24K
2019	796	$24K
2020	524	$13K
2021	589	$14K
2022	536	$11K
2023	496	$13K
2024incomplete	169	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	61%	1,385	1,324	$61K
92015	Determination of refractive state	23%	2,054	1,964	$23K
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	6.8%	181	170	$7K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	5.7%	76	76	$6K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.3%	87	85	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$363.65
76519		<1%	12	12	$297.88

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.