Physician
Ophthalmic Associates, PC
Ophthalmic Associates, PC was paid $256K by Medicaid between Jan 2018 and Sep 2021, across 11 billing codes. Its largest line is 92015, Determination of refractive state — 33% of everything it billed.
33Billing provider infoOPHTHALMIC ASSOCIATES, PC
TRUMBULL, CT 06611
TRUMBULL, CT 06611
33aNPI1871655951assigned 12/14/2006
33bProvider typeOphthalmology Physician
28Total paid$256K
24GClaims7,103
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Ophthalmology Physician providers in Connecticut
Rank by total paid#17 of 97
Median peer was paid$13K
This provider vs. median19×
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 | 2,848 | $99K | |
| 2019 | 2,062 | $73K | |
| 2020 | 1,182 | $45K | |
| 2021 | 1,011 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 33% | 2,236 | 2,207 | $84K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 1,590 | 1,567 | $82K |
| V2020 | Frames, purchases | 13% | 1,102 | 1,077 | $32K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.7% | 716 | 629 | $22K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.2% | 908 | 883 | $18K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 2.5% | 220 | 213 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.8% | 64 | 62 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.7% | 155 | 152 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 88 | 83 | $2K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | 12 | $0.00 |
| 1036F | 0% | 12 | 12 | $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 officialPULICE, EDWARD (PRESIDENT)