Western New York Ophthalmology PLLC

Western New York Ophthalmology PLLC was paid $81K by Medicaid between Jan 2018 and Dec 2020, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 94% of everything it billed.

33Billing provider infoWESTERN NEW YORK OPHTHALMOLOGY PLLC
AMHERST, NY 14226

33aNPI1881980308assigned 06/23/2011

33bProvider typeOphthalmology Physician

28Total paid$81K

24GClaims1,093

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#421 of 1,085

Median peer was paid$34K

This provider vs. median2.4×

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	309	$22K
2019	403	$30K
2020	381	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	94%	1,051	1,039	$76K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	4.9%	29	29	$4K
92002		<1%	13	13	$777.34

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 officialAWNER, STEVEN (PHYSICIAN)